Provider Demographics
NPI:1750307823
Name:ROSENBAUM, SHARI B (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARI
Middle Name:B
Last Name:ROSENBAUM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1905 CLINT MOORE RD
Mailing Address - Street 2:#204
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-2658
Mailing Address - Country:US
Mailing Address - Phone:561-988-0995
Mailing Address - Fax:561-988-0445
Practice Address - Street 1:1905 CLINT MOORE RD
Practice Address - Street 2:#204
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-2658
Practice Address - Country:US
Practice Address - Phone:561-988-0995
Practice Address - Fax:561-988-0445
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME95253207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H80461Medicare UPIN
NY8P1082Medicare ID - Type Unspecified