Provider Demographics
NPI:1053322065
Name:ROSENBLATT, ARTHUR IRWIN (PHD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:IRWIN
Last Name:ROSENBLATT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 917770
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-0001
Mailing Address - Country:US
Mailing Address - Phone:813-631-7132
Mailing Address - Fax:813-631-7129
Practice Address - Street 1:3515 E FLETCHER AVE
Practice Address - Street 2:DEPARTMENT OF PSYCHIATRY, UNIVERSITY OF SOUTH FLORIDA
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4706
Practice Address - Country:US
Practice Address - Phone:813-631-7132
Practice Address - Fax:813-974-3223
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3305103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
75716Medicare UPIN