KENNETH A ROSEN MD PA (NPI# 1477008159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477008159 |
| Entity Type | Organization |
| Organization Name | KENNETH A ROSEN MD PA |
| Practice Address |
10300 Sw 72nd St Suite 150 Miami FL 33173-3012 |
| Mailing Address |
151 Southhall Ln Suite 300 Maitland FL 32751-7176 |
| Practice Telephone | 3052796012 |
| Practice Fax Number | 3052797709 |
| Mailing Telephone | 4078752080 |
| Mailing Fax Number | 4076503455 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |
| Authorized Official Name | KENNETH A ROSEN (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 3052796012 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
10300 SW 72ND ST SUITE 150 |
| City | MIAMI |
| State | FL |
| Zip Code | 33173-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548204 | Johannes Lopez | Pediatrics | 10300 Sw 72nd St, Suite #351, Miami, FL 33173-3012 | 2005-09-19 |
| 1821555319 | Ralphnie Altagracia Bryant | Behavior Technician | 10300 Sw 72nd St, Miami, FL 33173-3012 | 2019-02-21 |
| 1114436722 | Ariadna Alvarez | Speech-Language Pathologist | 10300 Sw 72nd St, Miami, FL 33173-3012 | 2017-09-26 |
| 1740723550 | United Personal Care, Inc. | Clinic/Center | 10300 Sw 72nd St, Suite 205, Miami, FL 33173-3012 | 2016-11-28 |
| 1225580517 | Gina Maria Tabsch | Specialist/Technologist | 10300 Sw 72nd St, Ste. 425, Miami, FL 33173-3012 | 2016-11-02 |
| 1275083412 | Alejandra Chacon | Behavior Technician | 10300 Sw 72nd St, Miami, FL 33173-3012 | 2016-10-12 |
| 1114392677 | Bianca Guardo | Speech-Language Pathologist | 10300 Sw 72nd St, Ste 425, Miami, FL 33173-3012 | 2015-12-09 |
| 1740650654 | Menendez General Center Inc | Clinic/Center | 10300 Sw 72nd St, Suite 185, Miami, FL 33173-3012 | 2015-10-05 |
| 1659740314 | A-1 Medical Research LLC | Clinic/Center | 10300 Sw 72nd St, Suite 350, Miami, FL 33173-3012 | 2015-09-23 |
| 1437527157 | Natalia Gurina Zakrzeski | Speech-Language Pathologist | 10300 Sw 72nd St, Suite 425, Miami, FL 33173-3012 | 2015-09-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374613 | Derrick George Dyer | Behavioral Analyst | 11025 Sw 84t St. Cottage 8, Miami, FL 33173 | 2020-07-24 |
| 1306405477 | Erich Soto Del Valle | Dentist | 7125 Sw 111th Ct, Miami, FL 33173 | 2019-06-11 |
| 1356819247 | Berenice E De La Mota | Dietitian, Registered | 7500 Sw 87 Avenue # 200, Miami, FL 33173 | 2018-11-08 |
| 1386146850 | Yordanka Arango | Assistant Behavior Analyst | 11415 Sw 59 Terr, Miami, FL 33173 | 2018-03-01 |
| 1851806632 | Juliana Orozco | Acupuncturist | 9240 Sunset Dr Ste 229, Miami, FL 33173 | 2017-12-03 |
| 1447760749 | Irfan Saeed | Nurse Practitioner | 8401 Sw 107 Avenue, Apt 335e, Miami, FL 33173 | 2017-10-02 |
| 1619491339 | Malciel Bonilla | Assisted Living Facility | 9830 Sw 80 Dr, Miami, FL 33173 | 2017-08-03 |
| 1144744467 | Yoislan Daniel Daniel | Behavioral Analyst | 10261 Sw 72 St Suite C104, Miami, FL 33173 | 2017-07-28 |
| 1083137061 | Berkis Serrat Esnobol | Behavior Technician | 8961 Sw 72nd St Apt 121, Miami, FL 33173 | 2017-07-20 |
| 1215478276 | Leonel Diaz Rapado | Behavior Technician | 8015 Sw 107 Ave, Apt 315, Miami, FL 33173 | 2017-03-10 |
| Find all providers in zip 33173 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1386119097 | Katlein Paola De Franca | Dermatology | 1295 Nw 14th St # Lmk, Miami, FL 33125-1610 | 2018-10-09 |
| 1316328578 | Laura-louise Scott | Dermatology | 1295 Nw 14th St Ste Lmk, Miami, FL 33125-1610 | 2015-06-13 |
| 1629471230 | Dorene Niv | Dermatology | 3431 Ne 1st Ave, Miami, FL 33137-3981 | 2014-09-27 |
| 1518372309 | Franz Kerdel | Dermatology | 3661 S Miami Ave Ste 1005, Miami, FL 33133-4214 | 2014-06-30 |
| 1093145831 | Ivan D Camacho Md Pa | Dermatology | 79 Sw 12 St #3907, Miami, FL 33130-5215 | 2013-11-14 |
| 1861835720 | Rivka C Stone | Dermatology | 1295 Nw 14th St Ste Lmandk, Miami, FL 33125-1610 | 2013-04-10 |
| 1861734584 | Alyx Cali Rosen | Dermatology | 1600 Nw 10th Ave Rm 2023, Miami, FL 33136 | 2013-03-20 |
| 1760750012 | Mind Fitness Inc | Dermatology | 1084 Nw 135th Ct, Miami, FL 33182-2616 | 2011-12-01 |
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| 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.