Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 036-110966 | IL |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME-120336 | FL |
NPI | 1417034240 |
---|---|
Provider Name | Dr. Alan Scott Rozen |
First Address | Juno Beach, FL 33408-2307 |
Second Address | Juno Beach, FL 33408-2307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 16/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036--110966 | STATE LICENSE (01) | IL |
H35757 | (02) | IL |
ME-120336 | FLORIDA MEDICAL LICENSE (01) | FL |