Doctor Name: | MR. GARY BERNARD ROSEN |
NPI Number: | 1568560688 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G68293 |
Business Practice Address: | 8250 Bryan Dairy Rd Suite 250 Largo, FL - 337771353 |
Business Phone Number: | 7273935300 |
Business Fax Number: | 7273935301 |
Mailing Address: | 2600 Lake Lucien Dr, Suite 180 MAITLAND |
State: | FL |
Postal Code: | 327517233 |
Phone Number: | 4078752080 |
Fax Number: | 4078750518 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 09/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G68293 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
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. |