Individual
DR. ROBERT GLENN ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
850 GARDEN ST, TITUSVILLE, FL 32796-3411
(321) 267-3233
(321) 267-5141
Mailing address
850 GARDEN ST, TITUSVILLE, FL 32796-3411
(321) 267-3233
(321) 267-5141
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2465
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO2465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65433
BLUE CROSS BLUE SHEILD
FL
01
—
P00179443
MEDICARE RAILROAD
FL
Enumeration date
02/01/2006
Last updated
04/08/2025
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