Organization
ROSENBLUM VICTORIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN OLGA ROSENBLUM MD (DIRECTOR)
(954) 443-4973
Entity
Organization
Contact information
Practice address
13141 NW 11TH ST, PEMBROKE PINES, FL 33028-2701
(954) 443-4973
Mailing address
13141 NW 11TH ST, PEMBROKE PINES, FL 33028-2701
(954) 443-4973
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
ME 43839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 43839
MEDICAL LISCENSE
—
Enumeration date
08/31/2010
Last updated
05/02/2011
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