Provider Demographics
NPI:1043205552
Name:CIRELLI, ROSEMARY A (MD)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:A
Last Name:CIRELLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1876 NIGHTINGALE LN
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-4359
Mailing Address - Country:US
Mailing Address - Phone:352-742-4447
Mailing Address - Fax:352-748-4448
Practice Address - Street 1:1876 NIGHTINGALE LN
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-4359
Practice Address - Country:US
Practice Address - Phone:352-742-4447
Practice Address - Fax:352-748-4448
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME74542207RP1001X
FLME0074542207RS0012X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL42517OtherBCBS OF FLORIDA
FL253687100Medicaid
FL253687100Medicaid
FL42517Medicare PIN