Provider Demographics
NPI:1295778173
Name:ROSENKRANZ, NEIL E (MD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:E
Last Name:ROSENKRANZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10600 SW 128TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-5553
Mailing Address - Country:US
Mailing Address - Phone:305-256-7739
Mailing Address - Fax:305-256-7675
Practice Address - Street 1:9555 N KENDALL DR
Practice Address - Street 2:SUITE 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1978
Practice Address - Country:US
Practice Address - Phone:305-273-7319
Practice Address - Fax:305-662-9515
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 42573207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL00107525OtherRR MEDICARE
FL375024800Medicaid
FL375024800Medicaid
FLD30653Medicare UPIN