Organization Active NPI

Team Rose Medical Care, LLC

  • Internal Medicine Physician
  • Davie, FL
National Provider Identifier
1730940909
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TEAM ROSE MEDICAL CARE, LLC
Practice address
2470 SW 131St Ter
Davie, FL 33325-5135
Phone
(954) 684-7420
NPI assigned
Jan 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Rosa Tam, MD
Title
Owner
Phone
(954) 684-7420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2470 SW 131St Ter
Davie, FL 33325-5135

Mailing address

2470 SW 131St Ter
Davie, FL 33325-5135
Phone (954) 684-7420

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1730940909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 SW 131ST TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333255135",
            "telephone_number": "954-684-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 SW 131ST TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333255135",
            "telephone_number": "954-684-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM ROSE MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "TAM",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-684-7420",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.