Individual
SEYMOUR ROBERT ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3009 4TH STREET, MARIANNA, FL 32446-2122
(850) 526-3937
(850) 526-7334
Mailing address
3009 4TH STREET, MARIANNA, FL 32446-2122
(850) 526-3937
(850) 526-7334
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
047257
GA
207W00000X
Ophthalmology Physician
47257
GA
207W00000X
Ophthalmology Physician
Primary
ME0026782
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057881903
—
FL
Enumeration date
05/17/2006
Last updated
04/22/2008
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