Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 20012 | FL |
NPI | 1639288335 |
---|---|
Provider Name | Dr. Stephen Phillip Rosenthal |
First Address | Miami, FL 33125-1624 |
Second Address | Miami, FL 33125-1624 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 11/07/2007 |