| Paul T Rose, MD | |
|
4425 Ponce De Leon Blvd, Suite 230, Coral Gables, FL 33146-1837 | |
| (305) 448-9100 | |
| (305) 448-1050 |
| Full Name | Paul T Rose |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 47 Years |
| Location | 4425 Ponce De Leon Blvd, Coral Gables, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518921618 | NPI | - | NPPES |
| 593094664 | Other | FL | TAX ID |
| 09049 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | ME36846 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Golden State Dermatology Associates, Inc. | 1052418175 | 118 |
| Entity Name | Golden State Dermatology Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700860871 PECOS PAC ID: 1052418175 Enrollment ID: O20070523000605 |
| Entity Name | Hayes B Gladstone MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376947978 PECOS PAC ID: 4587987474 Enrollment ID: O20141229002252 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul T Rose, MD 4425 Ponce De Leon Blvd, Suite 230, Coral Gables, FL 33146-1837 Ph: (305) 448-9100 | Paul T Rose, MD 4425 Ponce De Leon Blvd, Suite 230, Coral Gables, FL 33146-1837 Ph: (305) 448-9100 |
Rube J Pardo, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1828 Ponce De Leon Blvd, Coral Gables, FL 33134 Phone: 305-448-5795 Fax: 305-448-5795 |
Dr. Anna Haydee Chacon, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 135 Madeira Ave, Coral Gables, FL 33134 Phone: 305-902-5733 Fax: 305-203-4549 |
Mrs. Diane Loo Gonzalez, APRN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3232 Coral Way Apt 114, Coral Gables, FL 33145 Phone: 305-975-5670 |
Dr. Jacquelyn Rose Dosal, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4425 Ponce De Leon Blvd, Suite 200, Coral Gables, FL 33146 Phone: 305-443-6606 Fax: 305-443-4890 |
Laura Kruter, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4225 Ponce De Leon Blvd Ste 200, Coral Gables, FL 33146 Phone: 305-443-6606 |
Dr. Bernard P Nusbaum, MD Dermatology Medicare: Medicare Enrolled Practice Location: 4425 Ponce De Leon Blvd, Suite 230, Coral Gables, FL 33146 Phone: 305-448-9100 Fax: 305-448-9100 |
Dr. Jeremy Blair Green, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4425 Ponce De Leon Blvd, Suite 200, Coral Gables, FL 33146 Phone: 305-443-6606 Fax: 305-443-4890 |