Individual
DR. JONATHAN ANDRE LEON ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 CORAL WAY, MIAMI, FL 33145-2731
(786) 309-7579
(305) 203-4950
Mailing address
PO BOX 451453, MIAMI, FL 33245-1453
(786) 309-7579
(305) 203-4950
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME104640
FL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
ME104640
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001325100
—
FL
Enumeration date
02/01/2007
Last updated
06/29/2021
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