Individual
DR. JON NELSON ROSENTHAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
220 SW 84TH AVE, SUITE 101, PLANTATION, FL 33324-2754
(954) 796-0400
(954) 753-6673
Mailing address
220 SW 84TH AVE, SUITE 101, PLANTATION, FL 33324-2754
(954) 796-0400
(954) 753-6673
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
6800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0546175002
CIGNA
FL
01
—
0853275
AETNA
FL
Enumeration date
09/08/2005
Last updated
07/08/2007
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