Healthcare Provider Details
I. General information
NPI: 1245225630
Provider Name (Legal Business Name): STEVEN ROSENBERG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/13/2005
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
685 PALM SPRINGS DR STE 1E
ALTAMONTE SPRINGS FL
32701-7853
US
IV. Provider business mailing address
685 PALM SPRINGS DR STE 1E
ALTAMONTE SPRINGS FL
32701-7853
US
V. Phone/Fax
- Phone: 407-636-2437
- Fax: 407-331-6644
- Phone: 407-636-2437
- Fax: 407-331-6644
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RA0201X |
| Taxonomy | Allergy & Immunology (Internal Medicine) Physician |
| License Number | ME036327 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: