Provider Demographics
NPI:1487941324
Name:ROTBART, ABRAHAM (MD)
Entity type:Individual
Prefix:
First Name:ABRAHAM
Middle Name:
Last Name:ROTBART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 ISLAND BLVD
Mailing Address - Street 2:APT 1509
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2405
Mailing Address - Country:US
Mailing Address - Phone:305-466-7841
Mailing Address - Fax:
Practice Address - Street 1:7000 ISLAND BLVD
Practice Address - Street 2:APT 1509
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-2405
Practice Address - Country:US
Practice Address - Phone:305-466-7841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME18437207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine