Provider Demographics
NPI:1467583005
Name:PEREIRA, ROSEMARY R (DC)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:R
Last Name:PEREIRA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2023 ELLESMERE B
Mailing Address - Street 2:DEERFIELD BEACH
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-3553
Mailing Address - Country:US
Mailing Address - Phone:954-333-8597
Mailing Address - Fax:
Practice Address - Street 1:40 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-1854
Practice Address - Country:US
Practice Address - Phone:954-428-4770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9132111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor