Conde-Rosa, Ana Marisol

Conde-Rosa, Ana Marisol is an sole proprietor health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Conde-Rosa, Ana Marisol can be contacted via phone (321) 361-5630.

Contact Information

Primary practice address
1350 Hickory St Melbourne FL 32901-3224
Phone: (321) 361-5630
Fax: (321) 676-6434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME112217 Florida

Profile Details

NPI number 1972674687
LBN Legal business name Conde-Rosa, Ana Marisol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Oct 17th, 2023 - about 3 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 1972674687 NPPES
Florida MEDICAID 005797700
Florida Other GF926U

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