Healthcare Provider Details

I. General information

NPI: 1922259647
Provider Name (Legal Business Name): ARTHUR CHARLES ROSENBLATT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2008
Last Update Date: 02/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6699 N FEDERAL HWY 103
BOCA RATON FL
33487-1660
US

IV. Provider business mailing address

6699 N FEDERAL HWY SUITE 103
BOCA RATON FL
33487-1660
US

V. Phone/Fax

Practice location:
  • Phone: 561-999-3600
  • Fax: 561-999-8853
Mailing address:
  • Phone: 561-999-3600
  • Fax: 561-999-8853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License NumberME49592
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME49592
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License NumberME49592
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: