Provider Demographics
NPI:1457592438
Name:ROSELL AND ROSELL MD CORP
Entity type:Organization
Organization Name:ROSELL AND ROSELL MD CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ARMANDO
Authorized Official - Last Name:ROSELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-263-0063
Mailing Address - Street 1:9995 SW 72ND ST STE 206
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4662
Mailing Address - Country:US
Mailing Address - Phone:786-263-0063
Mailing Address - Fax:305-279-3611
Practice Address - Street 1:9995 SW 72ND ST STE 206
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4662
Practice Address - Country:US
Practice Address - Phone:786-263-0063
Practice Address - Fax:305-279-3611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-20
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC7356261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7356OtherHCC