Organization
BENNETT ROSENTHAL M.S.,PH.D.,M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENNETT M ROSENTHAL M.S.,PH.D,M.D. (PROVIDER/OWNER)
(407) 296-1940
Entity
Organization
Contact information
Practice address
10000 W COLONIAL DR, SUITE 289, OCOEE, FL 34761-3498
(407) 296-1940
(407) 296-1942
Mailing address
PO BOX 1909, WINDERMERE, FL 34786-1909
(407) 296-1940
(407) 296-1942
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26248
BCBSOFFLA
FL
05
—
376814700
—
FL
Enumeration date
12/21/2005
Last updated
05/06/2009
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