Rose, Rennay A

Rose, Rennay A is an individual health care provider with primary practice located at 1601 Nw 12Th Ave , Miami FL 33136-1005. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Rose, Rennay A can be contacted via phone (305) 243-6660.

Contact Information

Primary practice address
1601 Nw 12Th Ave Miami FL 33136-1005
Phone: (305) 243-6660
Fax: (305) 243-4595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1396886024
LBN Legal business name Rose, Rennay A
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Apr 15th, 2014 - about 12 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 1396886024 NPPES
Florida MEDICAID 000512700
Florida MEDICAID 767185700

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