Provider Demographics
NPI:1538040977
Name:ROSE GOLD CARE LLC
Entity type:Organization
Organization Name:ROSE GOLD CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING
Authorized Official - Prefix:MS
Authorized Official - First Name:SUDLAIRE THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARLOTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN, FNP-BC
Authorized Official - Phone:954-909-1044
Mailing Address - Street 1:5130 LINTON BLVD STE H1
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6597
Mailing Address - Country:US
Mailing Address - Phone:954-909-1044
Mailing Address - Fax:954-909-1044
Practice Address - Street 1:5130 LINTON BLVD STE H1
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6597
Practice Address - Country:US
Practice Address - Phone:954-909-1044
Practice Address - Fax:954-909-1044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty