MEDICARE: KERI ELISE 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	363LP2300X	Primary Care Nurse Practitioner	11048644	FL

General Provider Information

NPI Number	:	1407782089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERI ELISE ROSENBERG

Provider Business Mailing Address
First Line	:	233 S FEDERAL HWY APT 705
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-4943
Country	:	US
Telephone Number	:	954-621-7712
Fax Number	:

Provider Business Practice Location Address
First Line	:	233 S FEDERAL HWY APT 705
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-4943
Country	:	US
Telephone Number	:	954-621-7712
Fax Number	:

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

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

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Directions to “ KERI ELISE ROSENBERG ” Practice Location

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