# SEYMOUR R. ROSEN, M.D.P.A.

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

## Provider details

- **NPI number:** 1003080292
- **Authorized official:** DR. SEYMOUR R ROSEN M.D. (PRESIDENT/PHYSICIAN)
- **Authorized official phone:** (850) 272-4222

## Contact information

- **Practice address:** 4591 BERKLIE DR, TALLAHASSEE, FL 32308-5861
- **Practice address phone:** (850) 272-4222
- **Practice address fax:** (850) 575-4503
- **Mailing address:** 4591 BERKLIE DR, TALLAHASSEE, FL 32308-5861
- **Mailing address phone:** (850) 272-4222
- **Mailing address fax:** (850) 575-4503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2008
- **Last updated:** 05/06/2008