| Elliott B Rosenbaum Psyd Pa | |
|
4465 Baymeadows Rd Suite 7 Jacksonville FL 32217-4732 | |
| (904) 252-7979 | |
| Not Available |
| Full Name | Elliott B Rosenbaum Psyd Pa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4465 Baymeadows Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Elliott Rosenbaum (DIRECTOR) |
| Authorized Official Contact | 9042527979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elliott B Rosenbaum Psyd Pa 4465 Baymeadows Rd Suite 7 Jacksonville FL 32217-4732 Ph: () - | Elliott B Rosenbaum Psyd Pa 4465 Baymeadows Rd Suite 7 Jacksonville FL 32217-4732 Ph: (904) 252-7979 |
| NPI Number | 1912292004 |
|---|---|
| Provider Enumeration Date | 06/16/2011 |
| Last Update Date | 06/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912292004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY8117 (Florida) | Primary |
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