Provider Information for 1174900138
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Dr. ROBERT ROSENSON
Sex: Male
NPI: 1174900138
Last Updated: 2023-02-13
Certification Date: 2023-02-13
Certification Date: 2023-02-13
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1174900138 | ||||||||
| Enumeration Date | 2015-04-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 565473 PINECREST, FL 33256-5473 United States Phone: 305-562-2873 | Fax: | ||||||||
| Primary Practice Address | 680 NE 64TH ST APT A411 MIAMI, FL 33138-6208 United States Phone: 305-562-2873 | Fax: | ||||||||
| Secondary Practice Address(es) | 7725 SW 115TH ST | ||||||||
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