Provider Demographics
NPI:1851346571
Name:ROSEMAN, ROBERT LEWIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LEWIS
Last Name:ROSEMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4340 W NEWBERRY RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2586
Mailing Address - Country:US
Mailing Address - Phone:352-371-2800
Mailing Address - Fax:352-378-7009
Practice Address - Street 1:4340 W NEWBERRY RD
Practice Address - Street 2:SUITE 202
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2586
Practice Address - Country:US
Practice Address - Phone:352-371-2800
Practice Address - Fax:352-378-7009
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2020-08-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME50583207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL592046817OtherTAX ID #
FL0458945-00Medicaid
FL0458945-00Medicaid
FLD50565Medicare UPIN