Jacqueline Rosenberg, OD | |
5030 Champion Blvd Ste C2a, Boca Raton, FL 33496-2473 | |
(561) 912-0800 | |
Not Available |
Full Name | Jacqueline Rosenberg |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 5030 Champion Blvd Ste C2a, Boca Raton, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457818320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC5895 (Florida) | Primary |
Provider Name | Aaron J. Evans O.d. P.a. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689904575 PECOS PAC ID: 5193853505 Enrollment ID: O20100505000754 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Rosenberg, OD 3594 Old Lighthouse Cir, Wellington, FL 33414-8841 Ph: (561) 213-2774 | Jacqueline Rosenberg, OD 5030 Champion Blvd Ste C2a, Boca Raton, FL 33496-2473 Ph: (561) 912-0800 |
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