Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason A Rose

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215181987

Jason A Rose is a Student in an Organized Health Care Education/Training Program in Davie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008
Specialties on file
2

Practice location Address checks out

3200 S University Dr
Davie, FL 33328-2018
Phone: (800) 541-6682
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence DN18710 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215181987
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 7, 2008
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024
Mailing address1320 Sw 82nd Ter, Apt. 424, Plantation, FL 33324-3251

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