Marvin S. Rosenblatt, Ph.d., P.a. | |
6203 West Commercial Boulevard Ft.lauderdale FL 33319 | |
(954) 722-2020 | |
Not Available |
Full Name | Marvin S. Rosenblatt, Ph.d., P.a. |
---|---|
Speciality | Psychologist - Clinical |
Location | 6203 West Commercial Boulevard, Ft.lauderdale, Florida |
Authorized Official Name and Position | Marvin S. Rosenblatt (PRESIDENT) |
Authorized Official Contact | 9547222020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marvin S. Rosenblatt, Ph.d., P.a. 6203 West Commercial Boulevard Ft.lauderdale FL 33319 Ph: (954) 722-2020 | Marvin S. Rosenblatt, Ph.d., P.a. 6203 West Commercial Boulevard Ft.lauderdale FL 33319 Ph: (954) 722-2020 |
NPI Number | 1467667097 |
---|---|
Provider Enumeration Date | 05/14/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467667097 | NPI | - | NPPES |
75781 | Other | FL | BLUE CROSS BLUE SHIELD ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY 2555 (Florida) | Primary |
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