Rose Garden Healthcare Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS 11040 Issued in FL

Legal business name

ROSE GARDEN HEALTHCARE GROUP LLC

Practice address

3934 Cedar Cay Cir
Valrico, FL 33596-8222

Phone

(813) 957-0623

NPI assigned

Sep 27, 2010

Last updated

Sep 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Aleksey Boohoff

Title

Managing Director

Phone

(813) 957-0623

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1831408798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 CEDAR CAY CIR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335968222",
            "telephone_number": "813-957-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 CEDAR CAY CIR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335968222",
            "telephone_number": "813-957-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE GARDEN HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "BOOHOFF",
        "authorized_official_first_name": "ALEKSEY",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "813-957-0623",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 11040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diandra Roman Mercado
• Amber Nicole Fogarty Roman, DC
• Elyse Romano, ATC, LAT
• Ronnie Grubbs Psy D PA
• Luis Antonio Rosa Jr.
• David L Rosenau, PHARMD
• Barbara Jeanne Ross
• Gabriela Ruiz Perez
• Sonia Margarita Ruiz, MD
• Clarence Henry Russell III, O.D.

• Family Medicine Physician in Valrico, FL
• Providers in Valrico, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.