Provider Demographics
NPI:1699787705
Name:ROSEMURGY, ALEXANDER S II (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:S
Last Name:ROSEMURGY
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3000 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-4680
Mailing Address - Country:US
Mailing Address - Phone:813-615-7030
Mailing Address - Fax:813-615-8350
Practice Address - Street 1:3000 MEDICAL PARK DR
Practice Address - Street 2:SUITE 500
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4680
Practice Address - Country:US
Practice Address - Phone:813-615-7030
Practice Address - Fax:813-615-8350
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME44370208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL068981500Medicaid
FL068981500Medicaid
FL30701VMedicare PIN
D85567Medicare UPIN