| Dr Joel E Rose, MD | |
|
100 E Commercial Blvd, Fort Lauderdale, FL 33334-1687 | |
| (964) 351-0202 | |
| Not Available |
| Full Name | Dr Joel E Rose |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 100 E Commercial Blvd, Fort Lauderdale, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346205192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 298646 (New York) | Secondary |
| 208000000X | Pediatrics | ME182095 (Florida) | Primary |
| 208000000X | Pediatrics | MD039346E (Pennsylvania) | Secondary |
| Entity Name | Pinnacle Health Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joel E Rose, MD 100 E Commercial Blvd, Fort Lauderdale, FL 33334-1687 Ph: (954) 351-0202 | Dr Joel E Rose, MD 100 E Commercial Blvd, Fort Lauderdale, FL 33334-1687 Ph: (964) 351-0202 |
Dianne Mattox Parker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 S Andrews Ave, Newborn Nursery, Fort Lauderdale, FL 33316 Phone: 954-355-5810 |
Dr. Paula Michele Thaqi, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 780 Sw 24th St, Fort Lauderdale, FL 33315 Phone: 954-467-4700 Fax: 954-467-4704 |
Tonya Grissam, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6451 N Federal Hwy Ste 800, Fort Lauderdale, FL 33308 Phone: 800-586-5022 Fax: 954-229-9801 |
Alexis Dietz, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 915 Middle River Dr Ste 209, Fort Lauderdale, FL 33304 Phone: 954-300-1736 |
Johanna Albrecht, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Nw 7th Ave, Fort Lauderdale, FL 33311 Phone: 954-759-6600 Fax: 954-759-6665 |
John Russell Livengood, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 780 Sw 24th St, Medical Administration, Fort Lauderdale, FL 33315 Phone: 954-467-4822 |
Alejandro Enrique Cambara, M,D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 S Andrews Ave, Fort Lauderdale, FL 33316 Phone: 954-355-4527 Fax: 954-712-6688 |