Rosa, Marilin
Rosa, Marilin is an individual health care provider with primary practice located at 655 W 8Th Street Department Of Pathology, Jacksonville FL 32209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cytopathology, which is considered as her primary health care specialty. Rosa, Marilin can be contacted via phone (904) 244-5326.Contact Information
Primary practice address
655 W 8Th Street Department Of Pathology
Jacksonville FL 32209
Phone: (904) 244-5326
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 40064 | Kentucky |
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | ME98521 | Florida |
Profile Details
| NPI number | 1629117916 |
|---|---|
| LBN Legal business name | Rosa, Marilin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jun 10th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629117916 | NPPES |
| Florida | MEDICAID | 2814081-00 | |
| Florida | MEDICAID | 357175204A |
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