Provider Demographics
NPI:1912976606
Name:DOBRYDNEY, ROSEMARIE F (ARNP)
Entity type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:F
Last Name:DOBRYDNEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5072 ANNUNCIATION CIR STE 325
Mailing Address - Street 2:
Mailing Address - City:AVE MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34142-9730
Mailing Address - Country:US
Mailing Address - Phone:239-899-6997
Mailing Address - Fax:239-327-0090
Practice Address - Street 1:5072 ANNUNCIATION CIR STE 325
Practice Address - Street 2:
Practice Address - City:AVE MARIA
Practice Address - State:FL
Practice Address - Zip Code:34142-9730
Practice Address - Country:US
Practice Address - Phone:239-899-6997
Practice Address - Fax:239-327-0090
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9311859363LF0000X
FL9311859363LF0000X
FLARNP9311859363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02271465Medicaid
FL2006003578Medicaid