Johnny Otis Rose JR.

NPI #1962170704 in Havana, Florida

Provider Information

NPI Number: 1962170704
Entity Type: Individual
Name: Johnny Otis Rose JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Respiratory Therapist, Certified - Critical Care
Enumeration Date: Sep 4, 2021
Last Updated: Sep 4, 2021

Practice Location

Address: 818 DOVER RD
City: Havana
State: Florida
ZIP Code: 32333-5780
Phone: (850) 321-7524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respiratory Therapist, Certified - Critical Care — Critical Care	2278C0205X	Primary

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