Individual
DAVID S ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1605 W FAIRBANKS AVE, WINTER PARK, FL 32789-4603
(407) 975-0200
Mailing address
1605 W FAIRBANKS AVE, WINTER PARK, FL 32789-4603
(407) 975-0200
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME 106508
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002256200
—
FL
01
—
148ZJ
BLUE CROSS AND BLUE SHIELD
FL
Enumeration date
10/17/2008
Last updated
05/10/2017
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