Doctor Name: | DESIREE ALEXIS ROS |
NPI Number: | 1194169201 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 5000 New Bedford Pl 220 Winter Springs, FL - 327084691 |
Business Phone Number: | 4073628955 |
Business Fax Number: | |
Mailing Address: | 5324 Rocking Horse Pl, OVIEDO |
State: | FL |
Postal Code: | 327656122 |
Phone Number: | 4073628955 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2013 |
NPI Last Update Date: | 05/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |