De La Rosa, Raymond E

De La Rosa, Raymond E is an individual health care provider with primary practice located at 3000 S Mccall Rd , Englewood FL 34224-8616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. De La Rosa, Raymond E can be contacted via phone (941) 841-4200.

Contact Information

Primary practice address
3000 S Mccall Rd Englewood FL 34224-8616
Fax: (941) 841-4201
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME132402 Florida

Profile Details

NPI number 1083667984
LBN Legal business name De La Rosa, Raymond E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jan 3rd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083667984 NPPES
Kentucky MEDICAID 64309180
Kentucky Other 30918

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