Provider Demographics
NPI:1568408060
Name:ROSATO PLASTIC SURGERY CENTER, INC
Entity Type:Organization
Organization Name:ROSATO PLASTIC SURGERY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ROSATO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-562-5859
Mailing Address - Street 1:3790 7TH TER
Mailing Address - Street 2:SUITE 101
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-6552
Mailing Address - Country:US
Mailing Address - Phone:772-562-5859
Mailing Address - Fax:772-564-9214
Practice Address - Street 1:3790 7TH TER
Practice Address - Street 2:SUITE 101
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6552
Practice Address - Country:US
Practice Address - Phone:772-562-5859
Practice Address - Fax:772-564-9214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1070261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF1301Medicare ID - Type Unspecified