MEDICARE: LAUREN ROSENBERG PA-C

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
1	363AM0700X	Medical Physician Assistant	015210	NY

General Provider Information

NPI Number	:	1902182579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ROSENBERG PA-C

Provider Business Mailing Address
First Line	:	8097 FERENTINO PASS
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-9584
Country	:	US
Telephone Number	:	954-868-2734
Fax Number	:	561-431-5875

Provider Business Practice Location Address
First Line	:	8097 FERENTINO PASS
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-9584
Country	:	US
Telephone Number	:	561-980-3501
Fax Number	:	561-431-5875

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2011
Last Update Date	:	04/16/2025

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Directions to “ LAUREN ROSENBERG PA-C” Practice Location

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