Individual
DR. COREY SAMUEL ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
145 CITY PL STE 201, PALM COAST, FL 32164-2480
(386) 627-7318
Mailing address
PO BOX 3266, SAINT AUGUSTINE, FL 32085-3266
(904) 819-4602
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS13280
FL
207X00000X
Orthopaedic Surgery Physician
UO2075
FL
Other
Enumeration date
05/11/2009
Last updated
10/05/2020
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