Individual
ELLIOTT B ROSENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD PA
Contact information
Practice address
4465 BAYMEADOWS RD, JACKSONVILLE, FL 32217-4732
(904) 252-7979
Mailing address
3113 CORNELIA DR, JACKSONVILLE, FL 32257-5817
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/02/2009
Last updated
05/26/2011
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