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Trevor A Rose, JR.

  • Male

Medical Specialty

Professional ID

  • NPI: 1124204623
  • PECOS ID: 1153593298
  • Enrollment ID: I20111013000272
  • Credential(MD, DO, DPM):
  • Medical School: Emory University School Of Medicine
  • Medical School Graduation Year: 2005

Hospital Service

  • Hospital CCN1: 100271
  • Business Name (LBN)1: H Lee Moffitt Cancer Center Research Institute I

Medical Practices

  • Organization Name: H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc
  • Group Practice ID assigned by PECOS: 2264337021
  • Number of Group Practice member: 514

Location

  • Address1: 12902 Usf Magnolia Dr
  • Address2:
  • City: Tampa
  • State: Florida
  • Zip Code: 33612
  • Phone Number: (888)860-2778

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):