Joel Bernard Rose
Family Doctor - Adult Medicine
6101 Webb Rd Suite 207
Tampa
, Florida 33615-2872
Joel Bernard Rose
Family Doctor - Adult Medicine
6101 Webb Rd Suite 207
Tampa
, Florida 33615-2872
(813) 885-6209
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Joel Bernard Rose
- Po Box 261748
- Tampa, FL
- Zip : 33685-1748
- Fax : (813) 885-6209
- Phone : (813) 882-3331
Second Address
- Joel Bernard Rose
- 6101 Webb Rd Suite 207
- Tampa, FL
- Zip : 33615-2872
- Fax : (813) 885-6209
- Phone : (813) 882-3331
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | OS 4694 | FL |
National Provider Identifier
| NPI | 1104928647 |
|---|---|
| Provider Name | Joel Bernard Rose |
| First Address | Tampa, FL 33685-1748 |
| Second Address | Tampa, FL 33615-2872 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E32280 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.