Individual provider · Type 1 NPI

Joel Bernard Rose, DO

Adult Medicine Physician · Tampa, FL

NPI number 1104928647 Active

Practice location

6101 Webb Rd, Suite 207
Tampa, FL 33615-2872

Call (813) 882-3331 Map

Fax (813) 885-6209

Mailing address

PO Box 261748
Tampa, FL 33685-1748

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XOS 4694 (FL)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1104928647

Joel Bernard Rose, DO's National Provider Identifier is 1104928647, issued on Sep 4, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Tampa, FL. The record was last updated on Jul 8, 2007.