Healthcare Provider Details

I. General information

NPI: 1730673500
Provider Name (Legal Business Name): ARTHUR ROZE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2018
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3702 WASHINGTON ST STE 103
HOLLYWOOD FL
33021-8283
US

IV. Provider business mailing address

2500 W BRADLEY PL
CHICAGO IL
60618-4716
US

V. Phone/Fax

Practice location:
  • Phone: 954-507-6636
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number036.171428
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number321808
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: