MARK S ROSENBLOOM MD NPI 1245215888

NPI Information

NPI: 1245215888
Provider Name: MARK S ROSENBLOOM, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
1223 GATEWAY DR
MELBOURNE, FL
ZIP 32901
Phone: (321) 725-4500
Get Directions

Mark S Rosenbloom, MD is a vascular surgery surgery in Melbourne, FL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Mark S Rosenbloom, MD NPI is 1245215888. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1223 GATEWAY DR
MELBOURNE, FL
ZIP 32901-607
Phone: (321) 725-4500
Fax: (321) 768-0039

The enumeration date for this NPI number is 12/7/2005 and was last updated on 2/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	ME61651	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	14783Y	MEDICARE PIN	FLORIDA
2	370166200	MEDICAID	FLORIDA
3	C48715	MEDICARE UPIN
4	770001972	OTHER	FLORIDA	RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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