Provider Demographics
NPI:1083691620
Name:DEL ROSARIO, EUFROCINA C (MD)
Entity type:Individual
Prefix:DR
First Name:EUFROCINA
Middle Name:C
Last Name:DEL ROSARIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 746638
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6638
Mailing Address - Country:US
Mailing Address - Phone:904-202-2092
Mailing Address - Fax:904-376-4075
Practice Address - Street 1:11236 BAPTIST HEALTH DR STE 220
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-2988
Practice Address - Country:US
Practice Address - Phone:904-696-6900
Practice Address - Fax:904-765-7149
Is Sole Proprietor?:No
Enumeration Date:2005-12-26
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME75556207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010283500Medicaid
FLP00098702OtherRAILROAD MEDICARE
44899XMedicare PIN
FL010283500Medicaid