Provider Demographics
NPI:1861860900
Name:FILS-AIME, ROSE (ARNP)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:FILS-AIME
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2480 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5743
Mailing Address - Country:US
Mailing Address - Phone:954-708-5649
Mailing Address - Fax:772-345-5930
Practice Address - Street 1:2480 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5743
Practice Address - Country:US
Practice Address - Phone:954-570-9595
Practice Address - Fax:954-354-8151
Is Sole Proprietor?:No
Enumeration Date:2015-09-06
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9289077363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109704400Medicaid