Doctor Name: | STEPHEN J ROSENBERG |
NPI Number: | 1194715003 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME30401 |
Business Practice Address: | 32 W Gore St Orlando, FL - 328061134 |
Business Phone Number: | 4073511112 |
Business Fax Number: | 4073459765 |
Mailing Address: | 32 W Gore St, ORLANDO |
State: | FL |
Postal Code: | 328061134 |
Phone Number: | 4073511112 |
Fax Number: | 4073459765 |
NPI Enumeration Date: | 10/24/2005 |
NPI Last Update Date: | 03/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME30401 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |