Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25MA07757800 | NJ |
N | 111NI0900X | Internist | 25MA07757800 | NJ |
Y | 207R00000X | Internist | ME93550 | FL |
Y | 111NI0900X | Internist | ME93550 | FL |
N | 207RH0002X | Hospice and Palliative Medicine | ME93550 | FL |
NPI | 1033147780 |
---|---|
Provider Name | Dr. Jeannette Alicia Rosales-Zincone |
First Address | Orlando, FL 32804-4659 |
Second Address | Orlando, FL 32804-4659 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 19/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I21073 | (02) | NJ |
U55582 | (05) | NJ |