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Individual

DR. JONATHAN DAVID ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1006
(954) 844-7120
Mailing address
9035 DULCETTO CT, BOCA RATON, FL 33496-3821

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
142489
FL
207P00000X
Emergency Medicine Physician
235909
NY

Other

Enumeration date
10/26/2006
Last updated
03/16/2021
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