Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | ME0074542 | FL |
Y | 207RP1001X | Pulmonary Disease | ME74542 | FL |
N | 207RS0012X | Sleep Medicine | ME0074542 | FL |
NPI | 1043205552 |
---|---|
Provider Name | Rosemary A Cirelli |
First Address | Tavares, FL 32778-4359 |
Second Address | Tavares, FL 32778-4359 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2005 |
Last Update Date | 23/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
253687100 | (05) | FL |
42517 | BCBS OF FLORIDA (01) | FL |
E55544 | (02) | FL |