MEDICARE: JESSICA LOURDES 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
1	106H00000X	Marriage & Family Therapist	5120	FL

General Provider Information

NPI Number	:	1154280196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LOURDES ROSENBERG

Provider Business Mailing Address
First Line	:	4700 N MICHIGAN AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2922
Country	:	US
Telephone Number	:	305-606-4910
Fax Number	:

Provider Business Practice Location Address
First Line	:	4700 N MICHIGAN AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2922
Country	:	US
Telephone Number	:	305-606-4910
Fax Number	:

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

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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Directions to “ JESSICA LOURDES ROSENBERG ” Practice Location

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