Individual provider Active NPI

Joseph Rosado, MD

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1104068584
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN336 Issued in FL
Practice address
3927 Rosewood Way
Orlando, FL 32808-1034
Phone
(407) 292-2200
Fax
(407) 292-8210
NPI assigned
Mar 31, 2009
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17750 PR
General Practice Physician 208D00000X ACN336 FL Primary

Addresses

Primary practice location

3927 Rosewood Way
Orlando, FL 32808-1034

Mailing address

PO Box 636987
Cincinnati, OH 45263-6987
Phone (352) 854-0681

Other practice location 1

1018 W Oak Ridge Rd
Orlando, FL 32809-4710
Phone (407) 859-8797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100517000369 FL Practitioner - Family PracticePractitioner - General Practice 1355479072 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17750PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Medical Centers LLC CurrentSince May 1, 2023 Accepting new patients
Panacea Alliance Corp. CurrentSince Oct 31, 2023 Accepting new patients
Coastal Neurology, Inc. CurrentSince Aug 27, 2018 Accepting new patients
Florida Health Care of Brevard CurrentSince May 1, 2023 Accepting new patients
Florida Department of Health Past Accepting new patients
Avanti Wellness Center Flllp General Practice Past Accepting new patients
Institute of Cardiovascular Excellence PLLC Past Accepting new patients
Cypress Health Systems Florida Inc. Past Accepting new patients

Locations

8200 S Jog Rd
Ste 205
Boynton Beach, FL 33472
Phone (561) 364-9584

725 W Granada Blvd
Ste 22
Ormond Beach, FL 32174
Phone (386) 274-0097

1840 Eldron Blvd SE
Ste 2
Palm Bay, FL 32909
Phone (561) 523-3973

1750 Tree Blvd
Ste 5
St Augustine, FL 32084
Phone (904) 222-8500

3745 11th Cir
Ste 109
Vero Beach, FL 32960
Phone (321) 848-8889

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104068584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636987",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636987",
            "telephone_number": "352-854-0681",
            "fax_number": "352-854-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 ROSEWOOD WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328081034",
            "telephone_number": "407-292-2200",
            "fax_number": "407-292-8210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1018 W Oak Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328094710",
            "country_code": "US",
            "telephone_number": "407-859-8797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSADO",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17750",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.