Provider Demographics
NPI:1225058357
Name:ROSENFIELD, LOUIS (MD)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:
Last Name:ROSENFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 LOVELAND BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33980-5716
Mailing Address - Country:US
Mailing Address - Phone:941-629-4500
Mailing Address - Fax:941-629-5049
Practice Address - Street 1:2300 LOVELAND BLVD
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33980-5716
Practice Address - Country:US
Practice Address - Phone:941-629-4500
Practice Address - Fax:941-629-5049
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMMD51418MD207RC0000X
NC2022-00625207RC0000X
NV7695207RC0000X
DCMD11877207RC0000X
VA0101031392207RC0000X
LAMD11472R207RC0000X
FLME-32994207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3002729OtherCIGNA
FLP304478OtherFREEDOM HC
FL100841900Medicaid
FL1078583OtherAETNA MCR
FL95132OtherBLUE SHIELD
FL5212334OtherAETNA - COMMERCIAL
FL95132OtherBLUE SHIELD
5212334OtherAETNA
FL066508800Medicaid
2101033OtherGHI