Individual
NEIL ROSENQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
265 BATH CLUB BLVD S, NORTH REDINGTON BEACH, FL 33708-1531
(620) 262-7202
Mailing address
619 AVENIDA DE MAYO, SARASOTA, FL 34242-1501
(620) 262-7202
(620) 262-7202
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
04-27757
KS
2085R0202X
Diagnostic Radiology Physician
Primary
04-27757
KS
2085R0202X
Diagnostic Radiology Physician
ME108566
FL
2085U0001X
Diagnostic Ultrasound Physician
04-27757
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100400450B
—
KS
01
—
104327
BCBS
KS
05
—
200047060A
—
OK
05
—
205477409
—
MO
Enumeration date
03/29/2006
Last updated
01/11/2024
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