Provider Demographics
NPI:1760169619
Name:ADONIS, ROSE JUDELINE (NP)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:JUDELINE
Last Name:ADONIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16481 SILVERSAW PALM DR
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-9521
Mailing Address - Country:US
Mailing Address - Phone:561-201-0195
Mailing Address - Fax:561-201-0195
Practice Address - Street 1:16481 SILVERSAW PALM DR
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-9521
Practice Address - Country:US
Practice Address - Phone:561-201-0195
Practice Address - Fax:561-201-0195
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11010582363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health