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NPI Code Detail

MEDICARE: KEITH ROSENBACH MD

MEDICARE:   KEITH  ROSENBACH  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
1207RI0200XInfectious Disease PhysicianME74079FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00185961OTHERFLRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851300172
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEITH ROSENBACH MD
Provider Business Mailing Address
First Line : 1344 HIGHWOOD PL
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-6760
Country : US
Telephone Number : 133-092-3038
Fax Number :
Provider Business Practice Location Address
First Line : 1344 HIGHWOOD PL
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-6760
Country : US
Telephone Number : 813-309-2303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 07/07/2022

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