Organization
PEDIATRIC PULMONARY SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROSENBERG M.D. (PRESIDENT)
(813) 870-1995
Entity
Organization
Contact information
Practice address
10817 BLOOMINGDALE AVE, RIVERVIEW, FL 33578-3616
(813) 870-1995
(813) 875-1889
Mailing address
PO BOX 151637, TAMPA, FL 33684-1637
(813) 870-1995
(813) 875-1889
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274523200
—
FL
Enumeration date
08/13/2008
Last updated
08/13/2008
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