| Team Rose Medical Care, Llc | |
|
2470 Sw 131st Ter Davie FL 33325-5135 | |
| (954) 684-7420 | |
| Not Available |
| Full Name | Team Rose Medical Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2470 Sw 131st Ter, Davie, Florida |
| Authorized Official Name and Position | Rosa Tam (OWNER) |
| Authorized Official Contact | 9546847420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Rose Medical Care, Llc 2470 Sw 131st Ter Davie FL 33325-5135 Ph: (954) 684-7420 | Team Rose Medical Care, Llc 2470 Sw 131st Ter Davie FL 33325-5135 Ph: (954) 684-7420 |
| NPI Number | 1730940909 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 01/16/2024 |
| Medicare PECOS PAC ID | 0143673590 |
|---|---|
| Medicare Enrollment ID | O20240201001480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730940909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rosa Tam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043298458 PECOS PAC ID: 5991769234 Enrollment ID: I20041116000712 |
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