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NPI Code Detail

MEDICARE: DR. ALAN M. ROSENBAUM M.D.

MEDICARE:  DR. ALAN M. ROSENBAUM  M.D.
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
1207RC0000XCardiovascular Disease PhysicianME0074068FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
141910ZOTHERFLMEDICARE ID

Other Identifiers

General Provider Information

NPI Number : 1811985641
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN M. ROSENBAUM M.D.
Provider Business Mailing Address
First Line : 1000 36TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-4862
Country : US
Telephone Number : 772-794-5611
Fax Number : 772-794-1450
Provider Business Practice Location Address
First Line : 3450 11TH CT
Second Line : SUITE 102
City : VERO BEACH
State : FL
Zip : 32960-5012
Country : US
Telephone Number : 772-778-8687
Fax Number : 772-778-3630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 02/02/2017

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