Provider Demographics
NPI:1639113152
Name:ROSENBAUM, MURRAY (MD)
Entity Type:Individual
Prefix:
First Name:MURRAY
Middle Name:
Last Name:ROSENBAUM
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 1:1200 N FEDERAL HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-2803
Mailing Address - Country:US
Mailing Address - Phone:561-266-0190
Mailing Address - Fax:561-300-3250
Practice Address - Street 1:1200 N FEDERAL HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-2803
Practice Address - Country:US
Practice Address - Phone:561-266-0190
Practice Address - Fax:561-300-3250
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0071991207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251699300Medicaid
FL191139OtherWELLCARE/STAYWELL
2502409OtherUNITED HEALTH CARE
2508143OtherGHI
FL32520OtherFL BC/BS
FL1011855OtherCARE PLUS
FL650804844OtherHUMANA
FL7549679OtherAETNA
FL060056565OtherRAILROAD MEDICARE
FLG40206Medicare UPIN