Provider Demographics
NPI:1376643965
Name:ROSENFELD, STEVEN IRA (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:IRA
Last Name:ROSENFELD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:16201 MILITARY TRL
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6503
Mailing Address - Country:US
Mailing Address - Phone:561-498-8100
Mailing Address - Fax:561-498-8188
Practice Address - Street 1:16201 MILITARY TRL
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6503
Practice Address - Country:US
Practice Address - Phone:561-498-8100
Practice Address - Fax:561-498-8188
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-23
Last Update Date:2010-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL0044815207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD-64910Medicare UPIN