Henry, Rosanne Marie

Henry, Rosanne Marie is an individual health care provider with primary practice located at 5005 Port St John Pkwy Ste 2300 , Port St John FL 32927-4305. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Henry, Rosanne Marie can be contacted via phone (321) 633-8663.

Contact Information

Primary practice address
5005 Port St John Pkwy Ste 2300 Port St John FL 32927-4305
Phone: (321) 633-8663
Fax: (321) 633-8618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME127424 Florida

Profile Details

NPI number 1508132085
LBN Legal business name Henry, Rosanne Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2012
Last updated Apr 20th, 2021 - about 4 years ago

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 1508132085 NPPES
Florida MEDICAID 017624200

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