Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVELISSE ROSA, DPM
ActiveIVELISSE ROSA, DPM is a Foot Surgery Podiatrist healthcare provider located in THE VILLAGES, Florida. NPI 1689764995 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · THE VILLAGES, FL
Registration Details
- NPI Number
- 1689764995
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2006 (19.873703338484 yrs)
- Last Updated
- Feb 8, 2024
- Licenses
-
25MD00288300 (NJ)N006138 (NY)
Practice Information
- Address
-
340 HEALD WAY BLDG 100THE VILLAGES, FL, 321636087Browse FL providers · Browse ZIP 32163
- Phone
- 3522591919
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
- Additional Specialty
- Foot Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.