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Organization
JAY ROSENFELD OD PA
Active
Organization
JAY ROSENFELD OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY ROSENFELD OD (PRESIDENT)
(727) 799-4500
Entity
Organization
Contact information
Practice address
2541 COUNTRYSIDE BLVD STE 1, CLEARWATER, FL 33761-3504
(727) 799-4500
(727) 724-1633
Mailing address
2541 COUNTRYSIDE BLVD STE 1, CLEARWATER, FL 33761-3504
(727) 799-4500
(727) 724-1633
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1691
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086557500
—
FL
01
—
1114924040
INDIVIDUAL NPI FOR JAY ROSENFELD OD
FL
Enumeration date
09/23/2010
Last updated
09/23/2010
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