STACY R ROSENBLUM (NPI# 1609218965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609218965 |
| Entity Type | Individual |
| Full Name | STACY R ROSENBLUM |
| Credential | D.O. |
| Practice Address |
3319 State Road 7 Ste 110 Wellington FL 33449-8094 |
| Mailing Address |
Po Box 844492 Los Angeles CA 90084-4492 |
| Practice Telephone | 5617847884 |
| Practice Fax Number | 5617847884 |
| Mailing Telephone | 4809488400 |
| Mailing Fax Number | 4809488401 |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2016-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 006121 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 835513 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639413693 | Stacy Rosenblum | Pediatrics | 703 Main St, Paterson, NJ 07503 | 2012-11-15 |
| Street Address |
3319 STATE ROAD 7 STE 110 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33449-8094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972598464 | Steven A Dutcher | Neurological Surgery | 3319 State Road 7, Suite 313, Wellington, FL 33449-8093 | 2005-09-12 |
| 1629516992 | Natalie Eileen Dargan | Physician Assistant | 3319 State Road 7, Suite 313, Wellington, FL 33449-8094 | 2017-02-07 |
| 1477099596 | Palm Beach Neurosurgery | Physician Assistant | 3319 State Road 7, Suite 313, Wellington, FL 33449-8094 | 2017-01-12 |
| 1548705163 | Christina L Daniello | Physician Assistant | 3319 State Road 7, Wellington, FL 33449-8094 | 2017-01-05 |
| 1093164790 | David Alexander Ker Mcalpine | Physical Therapist | 3319 State Road 7, Wellington, FL 33449-8094 | 2016-06-03 |
| 1649649955 | Genesiscare Usa of Florida, LLC | Surgery | 3319 State Road 7, Suite 105, Wellington, FL 33449-8094 | 2015-09-16 |
| 1952780629 | Grace Lesley Camile Sharp | Physician Assistant | 3319 State Road 7, Suite 313, Wellington, FL 33449 | 2015-05-27 |
| 1821412909 | Lifestyle Medicine Specialists of Palm Beach LLC | Preventive Medicine | 3319 State Road 7, Suite 212, Wellington, FL 33449-8094 | 2014-02-10 |
| 1053732735 | Advanced Endodontics | Clinic/Center | 3319 State Road 7, Suite 315, Wellington, FL 33449-8094 | 2013-12-23 |
| 1942641667 | Palm Beach Medicine LLC | Anesthesiology | 3319 State Road 7, Suite 207, Wellington, FL 33449-8094 | 2013-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324398 | Rachel Hoffmann | Speech-Language Pathologist | 3377 S State Rd 7, Wellington, FL 33449 | 2020-04-06 |
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1750858148 | Lean On Me Companion LLC | Homemaker | 10048 Southern Pride Place, Lake Worth, FL 33449 | 2018-10-24 |
| 1851833958 | Caroline Pena | Acupuncturist | 3347 S State Road 7 Ste 200, Wellington, FL 33449 | 2016-11-07 |
| 1467823294 | Sophia Dionne Lyn Chinque | Nurse Practitioner | 10358 Olde Clydesdale Circle, Lake Worth, FL 33449 | 2015-10-20 |
| 1285987057 | Jose L. Martinez Md Pa | Internal Medicine | 11653 South Breeze Pl, Wellington, FL 33449 | 2012-10-18 |
| 1396017224 | Joseph Harold Cohen | Internal Medicine | 4431jamesestatelane, Wellington, FL 33449 | 2012-02-08 |
| 1215223870 | Apollo Medical Management | Non-Pharmacy Dispensing Site | 3347 State Rd 7, Suite 203, Wellington, FL 33449 | 2011-06-22 |
| 1568757987 | Rishi Jay Panchal | Internal Medicine | 3347 S State Road 7 Ste 203, Wellington, FL 33449 | 2011-06-14 |
| 1194987222 | Advanced Surgery Center of Palm Beach County, LLC | Clinic/Center | 5065 South State Rd 7, Suite 100, Lake Worth, FL 33449 | 2008-06-30 |
| Find all providers in zip 33449 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1902224553 | Apphia Wang | Dermatology | 121 S State Road 7, Wellington, FL 33414 | 2014-04-01 |
| 1659512366 | Mounir Makram Wassef | Dermatology | 12785 Forest Hill Blvd, Suite 8e, Wellington, FL 33414-4777 | 2009-03-10 |
| 1538782503 | Precision Dermatology | Dermatology | 3319 S State Road 7 Ste 105, Wellington, FL 33449-8099 | 2020-05-25 |
| 1588047427 | S.a.i Dermatology Inc | Dermatology | 10131 Forest Hill Blvd, Suite 201, Wellington, FL 33414-6156 | 2015-07-09 |
| 1518351592 | Katherine Chiang | Dermatology | 3319 S State Road 7 Ste 105, Wellington, FL 33449-8099 | 2015-03-27 |
| 1053749879 | Dermatology & Cutaneous Surgery Institute (dcsi), Pa | Dermatology | 12785 Forest Hill Blvd, Suite 8e, Wellington, FL 33414-4777 | 2013-10-15 |
| 1336407527 | Truderm Pa | Dermatology | 3319 State Road 7, Suite 202, Wellington, FL 33449-8092 | 2012-04-25 |
| 1649485608 | Dermatology Center of Wellington Pa | Dermatology | 3319 State Road 7, Suite 110, Wellington, FL 33449-8094 | 2007-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002154 | Precision Skin LLC | Dermatology | 3501 S University Dr Ste 5, Davie, FL 33328-2001 | 2020-10-28 |
| 1487252417 | Janice Reaume | Dermatology | 3335 Imperial Manor Way, Mulberry, FL 33860-5519 | 2020-10-12 |
| 1922617729 | Synergymd, LLC | Dermatology | 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602-3509 | 2020-07-28 |
| 1518585447 | Alexander F Wong | Dermatology | 1300 Goodlette-frank Rd N, Naples, FL 34102-5243 | 2020-07-07 |
| 1508495003 | Elite Dermatology | Dermatology | 401 Coral Way Ste 207, Coral Gables, FL 33134-4924 | 2020-04-06 |
| 1396380044 | Suzanne Marie Smith | Dermatology | 21097 Ne 27th Ct Ste 500, Miami, FL 33180-1235 | 2019-11-15 |
| 1376188383 | Enchantress Dermatology, Inc. | Dermatology | 241 Nw 119 Ave, Miami, FL 33182-1329 | 2019-11-13 |
| 1699319988 | Revivify Dermatology, LLC | Dermatology | 21301 Powerline Rd # 108, Boca Raton, FL 33433-2388 | 2019-10-30 |
| 1841833928 | Carly Marie Maher | Dermatology | 90 Cypress Way E Ste 50, Naples, FL 34110-9275 | 2019-10-22 |
| 1255981338 | Alexandra Coad | Dermatology | 2191 9th Ave N Ste 100, St Petersburg, FL 33713-7147 | 2019-09-19 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 33449 |
Please comment or provide details below to improve the information on STACY R ROSENBLUM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.