E. George Rosanelli Jr., M.D., P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME29113 Issued in FL

Legal business name

E. GEORGE ROSANELLI JR., M.D., P.A.

Practice address

4129 N Armenia Ave
Suite a
Tampa, FL 33607-6436

Phone

(813) 875-3884

Fax

(813) 878-2355

NPI assigned

Jul 7, 2011

Organization subpart

No

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

Authorized official

Name

E. George Rosanelli Jr., M.D.

Title

President

Phone

(813) 875-3884

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1417244757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 N ARMENIA AVE",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076436",
            "telephone_number": "813-875-3884",
            "fax_number": "813-878-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 N ARMENIA AVE",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076436",
            "telephone_number": "813-875-3884",
            "fax_number": "813-878-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. GEORGE ROSANELLI JR., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "ROSANELLI",
        "authorized_official_first_name": "E.",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-875-3884",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME29113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE UPIN",
            "identifier": "DU5908",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• E&E Medical Services LLC
• E&S Reliable Transportation, LLC

• Ophthalmology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.