Roselli, Brice Alan
Roselli, Brice Alan is an individual health care provider with primary practice located at 333 17Th St Suite G, Vero Beach FL 32960-5670. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Roselli, Brice Alan can be contacted via phone (772) 978-0845.Contact Information
Primary practice address
333 17Th St Suite G
Vero Beach FL 32960-5670
Phone: (772) 978-0845
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC 3612 | Florida |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC 3612 | Florida |
Profile Details
| NPI number | 1194768135 |
|---|---|
| LBN Legal business name | Roselli, Brice Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jan 4th, 2010 - about 14 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 | 1194768135 | NPPES |
| Florida | Other | 20015A | BCBSOFFL PROVIDER # |
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