Provider Demographics
NPI:1972581494
Name:ROSENZWEIG, MAY GRACE SONALAN (ARNP)
Entity type:Individual
Prefix:MRS
First Name:MAY GRACE
Middle Name:SONALAN
Last Name:ROSENZWEIG
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9921 NW 60TH PL
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-2558
Mailing Address - Country:US
Mailing Address - Phone:954-755-8648
Mailing Address - Fax:
Practice Address - Street 1:9878 CLINT MOORE RD
Practice Address - Street 2:SUITE 204
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-1037
Practice Address - Country:US
Practice Address - Phone:561-451-2454
Practice Address - Fax:561-451-1223
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2012-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9177854363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAD679ZMedicare UPIN