Dr. Samuel Mark Rosati
Family Doctor Family Doctor - Addiction Medicine
320 N Clyde Morris Blvd
Daytona Beach
, Florida 32114-2744
Dr. Samuel Mark Rosati
Family Doctor Family Doctor - Addiction Medicine
320 N Clyde Morris Blvd
Daytona Beach
, Florida 32114-2744
(386) 676-7125
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Samuel Mark Rosati
- Po Box 9671
- Daytona Beach, FL
- Zip : 32120-9671
- Fax : (386) 676-7125
- Phone : (386) 676-7130
Second Address
- Dr. Samuel Mark Rosati
- 320 N Clyde Morris Blvd
- Daytona Beach, FL
- Zip : 32114-2744
- Fax : (386) 238-3235
- Phone : (386) 238-3204
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | ME103357 | FL |
| N | 207QA0401X | Family Doctor - Addiction Medicine | ME103357 | FL |
National Provider Identifier
| NPI | 1770609554 |
|---|---|
| Provider Name | Dr. Samuel Mark Rosati |
| First Address | Daytona Beach, FL 32120-9671 |
| Second Address | Daytona Beach, FL 32114-2744 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2007 |
| Last Update Date | 30/08/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 151A0 | BCBS (01) | FL |
| 1770609554 | TRICARE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.