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Contact Information

BEVERLY A ROSE, D.M.D, P. A.
2755 N. WICKHAM RD.
SUITE 101
MELBOURNE, FL32935
 Phone: 321-259-4666
 Fax: 321-259-3295
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BEVERLY A ROSE · (Female)

NPI Number 1083748842
Status Active
Credentials D.M.D, P. A.
Entity Individual
Enumeration date 03/15/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # DN14369
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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