Rose, Marcus William

Rose, Marcus William is an individual health care provider with primary practice located at 3626 S Belcher Dr , Tampa FL 33629-8225. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is his primary health care specialty. Rose, Marcus William can be contacted via phone (813) 966-3591.

Contact Information

Primary practice address
3626 S Belcher Dr Tampa FL 33629-8225
Phone: (813) 966-3591
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X SA5946 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA5946 Florida

Profile Details

NPI number 1023172616
LBN Legal business name Rose, Marcus William
Credentials MSP, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Mar 20th, 2015 - about 10 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 1023172616 NPPES
Florida MEDICAID 886346600
Florida MEDICAID 000843100

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