Individual
DR. PUSHPAL ROCKY BANERJEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13021 W LINEBAUGH AVE STE 102, TAMPA, FL 33626-4509
(813) 709-8567
(215) 642-8552
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
81748
GA
207P00000X
Emergency Medicine Physician
OS8141
FL
208D00000X
General Practice Physician
OS8141
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260018800
—
FL
Enumeration date
05/25/2006
Last updated
01/30/2025
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