| Doctor Name: | MARC ROSA |
| NPI Number: | 1750766838 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT |
| License Number: | PT30489 |
| Business Practice Address: | 701 Platinum Pt Lake Mary, FL - 327464871 |
| Business Phone Number: | 4072064500 |
| Business Fax Number: | |
| Mailing Address: | 1200 Lexington Green Ln, SANFORD |
| State: | FL |
| Postal Code: | 327711013 |
| Phone Number: | 4076880070 |
| Fax Number: | 4076880071 |
| NPI Enumeration Date: | 07/30/2015 |
| NPI Last Update Date: | 07/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT30489 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |