Justin Andrew Rose, D.O.

Surgery Physician · Jacksonville Beach, FL

Individual Active NPI

NPI number 1245586775

Practice location

1370 13TH Ave S Ste 116
Jacksonville Beach, FL 32250-3206
Phone
(904) 247-3858

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NPI record

NPI
1245586775
Entity type
Individual (Type 1)
Enumeration date
August 2, 2012
Last updated
July 5, 2023
Certified
July 5, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X OS19892 FL
Surgery Physician 208600000X OT14510 PA

Mailing address

11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627
Phone
(904) 396-1725

About Dr. Rose

Justin Andrew Rose, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 1370 13TH Ave S Ste 116, Jacksonville Beach, FL 32250-3206. The NPI number 1245586775 was assigned on August 2, 2012 and the record was last updated on July 5, 2023.

Dr. Rose lists 2 licenses in the registry: #OS19892 (FL) for Surgery Physician; #OT14510 (PA) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Justin Andrew Rose, D.O.?

The NPI number is 1245586775.

What is the phone number of Dr. Rose?

The phone number listed for the practice location is (904) 247-3858.

Where is Dr. Rose located?

1370 13TH Ave S Ste 116, Jacksonville Beach, FL 32250-3206.

What is the taxonomy code for Dr. Rose?

The primary taxonomy code is 208600000X – Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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