Individual
DR. MARK ANTHONY ROSANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1478 HIGHLAND AVE STE A, MELBOURNE, FL 32935-6501
(321) 242-2026
(321) 242-2423
Mailing address
306 SCHOOL RD, INDIAN HARBOUR BEACH, FL 32937-3635
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-067273
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001634901
BLUE CROSS BLUE SHIELD OF ILLINOIS
—
01
—
31602264
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
Enumeration date
07/28/2005
Last updated
04/19/2026
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