Organization Active NPI

Rosenblum Victoria PA

  • Clinical Medical Laboratory
  • Pembroke Pines, FL
National Provider Identifier
1013223882
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
ME 43839 Issued in FL
Legal business name
ROSENBLUM VICTORIA PA
Practice address
13141 NW 11TH St
Pembroke Pines, FL 33028-2701
Phone
(954) 443-4973
NPI assigned
Aug 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carmen Olga Rosenblum, MD
Title
Director
Phone
(954) 443-4973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X ME 43839 FL Primary

Addresses

Primary practice location

13141 NW 11TH St
Pembroke Pines, FL 33028-2701

Mailing address

13141 NW 11TH St
Pembroke Pines, FL 33028-2701
Phone (954) 443-4973

Other identifiers 1

IdentifierTypeStateIssuer
ME 43839OtherMEDICAL LISCENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1013223882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13141 NW 11TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282701",
            "telephone_number": "954-443-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13141 NW 11TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282701",
            "telephone_number": "954-443-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENBLUM VICTORIA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "ROSENBLUM",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "OLGA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-443-4973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "ME 43839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LISCENSE",
            "identifier": "ME 43839",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.