Organization
KENNETH A ROSEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH A ROSEN MD (PHYSICIAN/OWNER)
(305) 279-6012
Entity
Organization
Contact information
Practice address
10300 SW 72ND ST, SUITE 150, MIAMI, FL 33173-3012
(305) 279-6012
(305) 279-7709
Mailing address
151 SOUTHHALL LN, SUITE 300, MAITLAND, FL 32751-7176
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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