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Individual

KEITH ROSENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1344 HIGHWOOD PL, WESLEY CHAPEL, FL 33543-6760
(813) 309-2303
Mailing address
1344 HIGHWOOD PL, WESLEY CHAPEL, FL 33543-6760
(133) 092-3038

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME74079
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
257166800
FL
01
P00185961
RR MEDICARE
FL
Enumeration date
08/05/2006
Last updated
07/07/2022
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