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NPI Code Detail

MEDICARE: JENNIFER K ROSENBERG

MEDICARE: JENNIFER K ROSENBERG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS45331FL

General Provider Information

NPI Number : 1346587102
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER K ROSENBERG
Provider Business Mailing Address
First Line : 2873 S ORANGE AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32806-5403
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2873 S ORANGE AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32806-5403
Country : US
Telephone Number : 407-872-0393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2013
Last Update Date : 01/13/2013

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Directions to “ JENNIFER K ROSENBERG ” Practice Location

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