Rosa, Heber J

Rosa, Heber J is an individual health care provider with primary practice located at 25 University Blvd N , Jacksonville FL 32211-7550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rosa, Heber J can be contacted via phone (904) 900-3667.

Contact Information

Primary practice address
25 University Blvd N Jacksonville FL 32211-7550
Phone: (904) 900-3667
Fax: (904) 900-3278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0067351 Florida

Profile Details

NPI number 1952306607
LBN Legal business name Rosa, Heber J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2005
Last updated Dec 6th, 2021 - about 3 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 1952306607 NPPES
Florida MEDICAID 010185600

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