| R Rosario-medina Md Llc | |
|
1417 N Semoran Blvd Ste 106 Orlando FL 32807-3555 | |
| (407) 382-9703 | |
| (321) 766-4566 |
| Full Name | R Rosario-medina Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1417 N Semoran Blvd, Orlando, Florida |
| Authorized Official Name and Position | Ralph Rosario-medina (DOCTOR) |
| Authorized Official Contact | 4073829703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R Rosario-medina Md Llc 1417 N Semoran Blvd Ste 106 Orlando FL 32807-3555 Ph: (407) 382-9703 | R Rosario-medina Md Llc 1417 N Semoran Blvd Ste 106 Orlando FL 32807-3555 Ph: (407) 382-9703 |
| NPI Number | 1194850990 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 10/26/2007 |
| Medicare PECOS PAC ID | 1557464617 |
|---|---|
| Medicare Enrollment ID | O20070309000211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194850990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME67356 (Florida) | Primary |
| Provider Name | Ralph Rosario-medina |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1326084674 PECOS PAC ID: 0345222956 Enrollment ID: I20040607000086 |
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