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Individual

DR. JAY MATTHEW ROSENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D

Contact information

Practice address
3402 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6214
(813) 875-3950
(813) 872-2741
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME100667
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103127300
FL
Enumeration date
01/03/2008
Last updated
09/10/2025
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