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Individual

STEPHEN J ROSENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
32 W GORE ST, ORLANDO, FL 32806-1134
(407) 351-1112
(407) 345-9765
Mailing address
32 W GORE ST, ORLANDO, FL 32806-1134
(407) 351-1112
(407) 345-9765

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME30401
FL
2084N0400X
Neurology Physician
Primary
ME30401
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038818100
FL
01
ME30401
MEDICAL LICENSE
FL
Enumeration date
10/24/2005
Last updated
11/10/2016
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