Provider Demographics
NPI:1972253664
Name:100 CHIRO ROSADO WINTER GARDEN PLLC
Entity Type:Organization
Organization Name:100 CHIRO ROSADO WINTER GARDEN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-510-3986
Mailing Address - Street 1:5736 HAMLIN GROVES TRL BLDG 2
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-5781
Mailing Address - Country:US
Mailing Address - Phone:407-329-2244
Mailing Address - Fax:
Practice Address - Street 1:5736 HAMLIN GROVES TRL BLDG 2
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-5781
Practice Address - Country:US
Practice Address - Phone:407-329-2244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty