| Rosass Vortex | |
|
2095 Highway A1a Apt 4704 Indian Harbour Beach FL 32937-1803 | |
| (321) 271-7348 | |
| Not Available |
| Full Name | Rosass Vortex |
|---|---|
| Speciality | Surgery |
| Location | 2095 Highway A1a Apt 4704, Indian Harbour Beach, Florida |
| Authorized Official Name and Position | Luis Rosas (OWNER) |
| Authorized Official Contact | 3212717348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosass Vortex 2095 Highway A1a Apt 4704 Indian Harbour Beach FL 32937-1803 Ph: (321) 271-7348 | Rosass Vortex 2095 Highway A1a Apt 4704 Indian Harbour Beach FL 32937-1803 Ph: (321) 271-7348 |
| NPI Number | 1225737612 |
|---|---|
| Provider Enumeration Date | 02/24/2023 |
| Last Update Date | 05/05/2023 |
| Medicare PECOS PAC ID | 9436515863 |
|---|---|
| Medicare Enrollment ID | O20230510000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225737612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | (* (Not Available)) | Primary |
| Provider Name | Luis R Rosas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710923214 PECOS PAC ID: 7810099561 Enrollment ID: I20070306000508 |
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