Organization · NPI-2
Bennett Rosenthal M.S.,ph.D.,m.D.,p.A.
Psychiatry & Neurology, Neurology · Ocoee, FL
NPI number1992781041
StatusActive
Last updated in NPPESMay 6, 2009
Details
- NPI
- 1992781041
- Entity type
- Organization (NPI-2)
- Legal business name
- Bennett Rosenthal M.S.,ph.D.,m.D.,p.A.
- Organization subpart
- No
- Enumeration date
- Dec 21, 2005
- Last updated
- May 6, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | Yes |
Practice location
10000 W Colonial DrSuite 289
Ocoee, FL 34761-3498
Phone 407-296-1940 · Fax 407-296-1942
Mailing address
Po Box 1909Windermere, FL 34786-1909
Phone 407-296-1940 · Fax 407-296-1942
Authorized official
Bennett M Rosenthal
Provider/Owner
4072961940
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