Provider Demographics
NPI:1548230154
Name:AMROSE, DAVID S (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:AMROSE
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:4425 MILITARY TRL
Mailing Address - Street 2:SUITE 4425
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4819
Mailing Address - Country:US
Mailing Address - Phone:561-721-1112
Mailing Address - Fax:561-296-3082
Practice Address - Street 1:4425 MILITARY TRL
Practice Address - Street 2:SUITE 4425
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4819
Practice Address - Country:US
Practice Address - Phone:561-721-1112
Practice Address - Fax:561-296-3082
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2020-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME77607207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL256354100Medicaid
FL256354100Medicaid
G93381Medicare UPIN