Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacy R Rosenblum, DO

Individual provider Dermatology Physician · NPI 1609218965

Stacy R Rosenblum, DO is a Dermatology in Wellington, Florida. Graduated from Philadelphia College of Osteopathic Medicine in 2008, 18 years ago. Practices with Vitalmd Group Holding LLC, a 532-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
18
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
AZ
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3319 State Road 7 Ste 110
Wellington, FL 33449-8094
Phone: (561) 784-7884
Fax: (561) 784-7884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 006121 (AZ)

Record details

NPI number1609218965
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 26, 2013
Last updated in NPPESOctober 27, 2016
Mailing addressPo Box 844492, Los Angeles, CA 90084-4492

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2008 (18 years in practice)
Group practice Vitalmd Group Holding Llc — 532 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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