Provider Demographics
NPI:1881782514
Name:ROSENSTEIN, WILLIAM (DO)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:ROSENSTEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6650 W INDIANTOWN RD
Mailing Address - Street 2:SUITE #110
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4628
Mailing Address - Country:US
Mailing Address - Phone:561-575-9876
Mailing Address - Fax:561-575-2858
Practice Address - Street 1:185 S BARFIELD HWY
Practice Address - Street 2:
Practice Address - City:PAHOKEE
Practice Address - State:FL
Practice Address - Zip Code:33476-1876
Practice Address - Country:US
Practice Address - Phone:561-924-5155
Practice Address - Fax:561-924-5155
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 6379208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL375161900Medicaid
FL80934OtherBCBS
FLA60802Medicare UPIN
FL80934XMedicare ID - Type Unspecified