# E. GEORGE ROSANELLI, JR, MD, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003013665
- **Authorized official:** DR. EDWARD GEORGE ROSANELLI JR. MD (PRESIDENT)
- **Authorized official phone:** (813) 875-3884

## Contact information

- **Practice address:** 2129 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6511
- **Practice address phone:** (813) 875-3884
- **Practice address fax:** (813) 878-2355
- **Mailing address:** 2129 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6511
- **Mailing address phone:** (813) 875-3884
- **Mailing address fax:** (813) 878-2355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | D85517 | FL | Yes |

## Other

- **Enumeration date:** 06/28/2007
- **Last updated:** 09/13/2007