| Rose Family Healthcare, Llc | |
|
4400 E Highway 20 Ste 207 Niceville FL 32578-7700 | |
| (850) 806-2440 | |
| Not Available |
| Full Name | Rose Family Healthcare, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4400 E Highway 20 Ste 207, Niceville, Florida |
| Authorized Official Name and Position | Susan M Wagner (OWNER) |
| Authorized Official Contact | 8508062440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Family Healthcare, Llc 4400 E Highway 20 Ste 207 Niceville FL 32578-7700 Ph: (850) 806-2440 | Rose Family Healthcare, Llc 4400 E Highway 20 Ste 207 Niceville FL 32578-7700 Ph: (850) 806-2440 |
| NPI Number | 1033925342 |
|---|---|
| Provider Enumeration Date | 12/10/2024 |
| Last Update Date | 12/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033925342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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