Organization · Type 2 NPI

Twelve Rose Medical Group LLC

Nurse Practitioner · Hallandale Beach, FL

NPI number 1972437473 Active

Practice location

1830 S Ocean Dr Apt 2407
Hallandale Beach, FL 33009-7697

Fax (718) 362-1651

Mailing address

228 E Route 59 Ste 307
Nanuet, NY 10954-2905

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1972437473

Twelve Rose Medical Group LLC's National Provider Identifier is 1972437473, issued on Jun 10, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hallandale Beach, FL. The record was last updated on Jun 10, 2026.