Organization
E. GEORGE ROSANELLI JR., M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E. GEORGE ROSANELLI JR. M.D. (PRESIDENT)
(813) 875-3884
Entity
Organization
Contact information
Practice address
4129 N ARMENIA AVE, SUITE A, TAMPA, FL 33607-6436
(813) 875-3884
(813) 878-2355
Mailing address
4129 N ARMENIA AVE, SUITE A, TAMPA, FL 33607-6436
(813) 875-3884
(813) 878-2355
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME29113
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DU5908
RAILROAD MEDICARE UPIN
—
Enumeration date
07/07/2011
Last updated
06/10/2014
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