Most Relevant Information
Provider Data
| NPI Number: | 1003245721 |
| Provider Name: | CHAD MICHAEL ROSE D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | CH11031 |
Most Important Dates
| Enumeration Date: | 11/04/2013 |
| Last Updated: | 08/30/2022 |
Provider Practice Location
910 OLD CAMP RD
SUITE 92
THE VILLAGES
FL
321625604
Practice Location Phone/Fax
| Phone: | 3863340133 |
| Fax: |
Provider Mailing Location
910 OLD CAMP RD
SUITE 92
THE VILLAGES
FL
321625604
Provider Mailing Phone/Fax
| Phone: | 3863340133 |
| Fax: |