Rose Wellness Clinic Llc | |
910 Old Camp Rd, Suite 92, The Villages, FL 32162-5604 | |
(352) 775-2180 | |
(352) 775-2930 |
Full Name | Rose Wellness Clinic Llc |
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Type | Facility |
Speciality | General Practice |
Location | 910 Old Camp Rd, The Villages, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598159576 | NPI | - | NPPES |
009SS | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH11031 (Florida) | Secondary |
208D00000X | General Practice | 053562 (Florida) | Primary |
225100000X | Physical Therapist | (Florida) | Secondary |
Provider Name | Sanford M Epstein |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1033177662 PECOS PAC ID: 1254349889 Enrollment ID: I20060323000540 |
Provider Name | Catherine Christenson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609161942 PECOS PAC ID: 2365501871 Enrollment ID: I20110805000444 |
Provider Name | Mark A Brimer |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477992105 PECOS PAC ID: 0446485528 Enrollment ID: I20131025001228 |
Provider Name | Chad Michael Rose |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1003245721 PECOS PAC ID: 7214248541 Enrollment ID: I20150612001440 |
Provider Name | Edwin L Ballada |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891828927 PECOS PAC ID: 8628369345 Enrollment ID: I20160627001874 |
Provider Name | Chelsy Kay Fazio |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942725098 PECOS PAC ID: 0244506624 Enrollment ID: I20171031000649 |
Provider Name | Nicole R Tucker |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558674762 PECOS PAC ID: 8527311497 Enrollment ID: I20181022003424 |
Provider Name | Eric L Bunge |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1215366638 PECOS PAC ID: 8729219449 Enrollment ID: I20220627002915 |
Provider Name | Trang N Nghiem |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1508385261 PECOS PAC ID: 4789064866 Enrollment ID: I20220707000582 |
Mailing Address | Practice Location Address |
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Rose Wellness Clinic Llc 910 Old Camp Rd, Suite 92, The Villages, FL 32162-5604 Ph: (386) 334-0133 | Rose Wellness Clinic Llc 910 Old Camp Rd, Suite 92, The Villages, FL 32162-5604 Ph: (352) 775-2180 |