| Dr Rosa Center For Mental Health Pa | |
|
5451 N University Dr Ste 102 Coral Springs FL 33067-4641 | |
| (954) 757-7672 | |
| (954) 757-7670 |
| Full Name | Dr Rosa Center For Mental Health Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5451 N University Dr Ste 102, Coral Springs, Florida |
| Authorized Official Name and Position | Edward Peter Rosa (OWNER OPERATOR) |
| Authorized Official Contact | 9547577672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rosa Center For Mental Health Pa 5451 N University Dr Ste 102 Coral Springs FL 33067-4641 Ph: (954) 757-7672 | Dr Rosa Center For Mental Health Pa 5451 N University Dr Ste 102 Coral Springs FL 33067-4641 Ph: (954) 757-7672 |
| NPI Number | 1902044910 |
|---|---|
| Provider Enumeration Date | 01/29/2009 |
| Last Update Date | 03/04/2009 |
| Medicare PECOS PAC ID | 8820246317 |
|---|---|
| Medicare Enrollment ID | O20120906000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902044910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME71617 (Florida) | Primary |
| Provider Name | Edward Rosa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982760724 PECOS PAC ID: 7416988753 Enrollment ID: I20050825000870 |
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