Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ME0016430 | FL |
Y | 208600000X | Surgeon | ME0016430 | FL |
NPI | 1013979608 |
---|---|
Provider Name | Dr. Robert Kent Rosenberg |
First Address | Palm Beach Gardens, FL 33410-4353 |
Second Address | Palm Beach Gardens, FL 33410-4353 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 20/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D55878 | (02) | FL |