Provider Demographics
NPI:1346243599
Name:HELLER-SAVOY, ROSE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSE
Middle Name:
Last Name:HELLER-SAVOY
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 1:7082 VALENCIA DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-7404
Mailing Address - Country:US
Mailing Address - Phone:954-540-3735
Mailing Address - Fax:
Practice Address - Street 1:7082 VALENCIA DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-7404
Practice Address - Country:US
Practice Address - Phone:954-540-3735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA068965002085R0202X
FLME877682085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL026720650Medicaid
FL81996OtherBLUE CROSS BLUE SHIELD
FLU0918Medicare ID - Type Unspecified
FL81996OtherBLUE CROSS BLUE SHIELD