Organization
PEDIATRIC PULMONARY SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROSENBERG MD (PRESIDENT)
(813) 870-1995
Entity
Organization
Contact information
Practice address
4714 N ARMENIA AVE, SUITE 201, TAMPA, FL 33603-2603
(813) 870-1995
(813) 875-1889
Mailing address
PO BOX 151637, TAMPA, FL 33684-1637
(813) 870-1995
(813) 875-1889
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
ME0056942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01424
STAYWELL
FL
01
—
100789
AVMED
FL
01
—
204478
AMERIGROUP
FL
01
—
2414608
AETNA
FL
05
—
274523200
—
FL
Enumeration date
07/25/2006
Last updated
05/16/2008
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