MEDICARE: DR. ALAN SCOTT ROZEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	036-110966	IL
2	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	ME-120336	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	036--110966	OTHER	IL	STATE LICENSE
2	ME-120336	OTHER	FL	FLORIDA MEDICAL LICENSE

General Provider Information

NPI Number	:	1417034240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN SCOTT ROZEN M.D.

Provider Business Mailing Address
First Line	:	465 JUNO DUNES WAY
Second Line	:	PLATINUM PALLIATIVE CARE, LLC
City	:	JUNO BEACH
State	:	FL
Zip	:	33408-2307
Country	:	US
Telephone Number	:	561-914-2526
Fax Number	:

Provider Business Practice Location Address
First Line	:	465 JUNO DUNES WAY
Second Line	:	PLATINUM PALLIATIVE CARE, LLC
City	:	JUNO BEACH
State	:	FL
Zip	:	33408-2307
Country	:	US
Telephone Number	:	561-914-2526
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/16/2014

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