Individual
DR. MARTIN DANIEL ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(325) 265-0680
Mailing address
7691 SW 81ST WAY, GAINESVILLE, FL 32608-9088
(404) 808-2969
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME132243
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021432500
—
FL
01
—
JA612Z
MEDICARE PTAN
FL
Enumeration date
05/05/2010
Last updated
08/15/2017
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