Rosanova, Mark Anthony

Rosanova, Mark Anthony is an individual health care provider with primary practice located at 1478 Highland Ave Ste A , Melbourne FL 32935-6501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Rosanova, Mark Anthony can be contacted via phone (321) 242-2026.

Contact Information

Primary practice address
1478 Highland Ave Ste A Melbourne FL 32935-6501
Phone: (321) 242-2026
Fax: (321) 242-2423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-067273 Illinois

Profile Details

NPI number 1275533531
LBN Legal business name Rosanova, Mark Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jun 9th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275533531 NPPES
Illinois Other 31602264 BLUE CROSS BLUE SHIELD OF ILLINOIS
Illinois Other 0001634901 BLUE CROSS BLUE SHIELD OF ILLINOIS

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