E. GEORGE ROSANELLI, JR, MD, PA NPI 1003013665

Ophthalmology in Tampa, FL

NPI 1003013665 Organization Ophthalmology

About E. GEORGE ROSANELLI, JR, MD, PA

E. George Rosanelli, Jr, Md, Pa is a provider established in Tampa, Florida specializing in ophthalmology. The NPI number of E. George Rosanelli, Jr, Md, Pa is 1003013665 and was assigned on June 2007. The practitioner's primary taxonomy code is 207W00000X with license number D85517 (FL). The provider is registered as an organization and their NPI record was last updated 14 years ago. E. George Rosanelli, Jr, Md, Pa operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Edward George Rosanelli Jr. Md (President)

NPI

1003013665

Provider NameE. GEORGE ROSANELLI, JR, MD, PA
Provider Location Address2129 W DR MARTIN LUTHER KING JR BLVD TAMPA, FL 33607
Provider Mailing Address2129 W DR MARTIN LUTHER KING JR BLVD TAMPA, FL 33607
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-28-2007
Last Update Date09-13-2007


Primary Taxonomy

Taxonomy Code207W00000X
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
License No.D85517
License StateFL
Taxonomy DescriptionAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Business Address

E. GEORGE ROSANELLI, JR, MD, PA
2129 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL
ZIP 33607
Phone: (813) 875-3884
Fax: (813) 878-2355

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Mailing Address

E. GEORGE ROSANELLI, JR, MD, PA
2129 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL
ZIP 33607
Phone: (813) 875-3884
Fax: (813) 878-2355



Authorized Official

Authorized Official NameDR. EDWARD GEORGE ROSANELLI JR. MD
Authorized Official TitlePRESIDENT
Authorized Official Phone(813) 875-3884

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.