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NPI Code Detail

MEDICARE: DR. JEFFREY PETER ROSEN MD

MEDICARE:  DR. JEFFREY PETER ROSEN  MD
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
1207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianME44077FL

General Provider Information

NPI Number : 1063483980
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY PETER ROSEN MD
Provider Business Mailing Address
First Line : 25 W CRYSTAL LAKE ST
Second Line : SUITE 200
City : ORLANDO
State : FL
Zip : 32806-4475
Country : US
Telephone Number : 407-254-2500
Fax Number : 407-254-2557
Provider Business Practice Location Address
First Line : 2699 LEE RD STE 100
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-1738
Country : US
Telephone Number : 407-897-1363
Fax Number : 407-254-2557
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 12/22/2023

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Directions to “ DR. JEFFREY PETER ROSEN MD” Practice Location

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