Provider Demographics
NPI:1518407667
Name:DARBOUZE, ROSE LOURDES (DNP)
Entity Type:Individual
Prefix:DR
First Name:ROSE
Middle Name:LOURDES
Last Name:DARBOUZE
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6308 SW 27TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3920
Mailing Address - Country:US
Mailing Address - Phone:954-701-2897
Mailing Address - Fax:
Practice Address - Street 1:6308 SW 27TH ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-3920
Practice Address - Country:US
Practice Address - Phone:954-701-2897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-07
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL12170310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility