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DONALD L ROSE PSYD AND ASSOCIATES PA

Clinical Neuropsychologist

Pompano Beach, Florida

Provider NPI: 1891742987

Organization Information:
Organization Name:  DONALD L ROSE PSYD AND ASSOCIATES PA
Organization is not Subpart
Authorized Official:  DONALD L ROSE  PSYD  954-9414388

Practice Location:
550 SW 3RD ST SUITE 304 POMPANO BEACH, FL 33060 US
Tel: 954-941-4388  Fax: 954-941-4389

Business Mailing Address:
550 SW 3RD ST SUITE 304 POMPANO BEACH, FL 33060 US
Tel: 954-941-4388  Fax: 954-941-4389

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
FLPY0003878

Other Provider Identifiers:

IssuerNumberStateType
STATE LICENSEPY0003878FL01
GROUP NPI1891742987FL01
INDIVIDUAL NPI1063461127FL01
GROUPK9846FL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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