Provider Demographics
NPI:1548467095
Name:TURNER, ROSA F (MD)
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:F
Last Name:TURNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 W 20TH AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1812
Mailing Address - Country:US
Mailing Address - Phone:305-702-9600
Mailing Address - Fax:305-702-9641
Practice Address - Street 1:7100 W 20TH AVE STE 212
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1812
Practice Address - Country:US
Practice Address - Phone:305-702-9600
Practice Address - Fax:305-702-9641
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME496462084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL374121400Medicaid
FL08594AOtherMEDICARE PTAN
FL374121400Medicaid