MEDICARE: DR. SELINA KOZAN APRN

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	363LF0000X	Family Nurse Practitioner	APRN9210685	FL

General Provider Information

NPI Number	:	1043527849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SELINA KOZAN APRN

Provider Business Mailing Address
First Line	:	3300 FOREST HILL BLVD # 50-109
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5813
Country	:	US
Telephone Number	:	561-437-6584
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 FOREST HILL BLVD # 50-109
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5813
Country	:	US
Telephone Number	:	561-437-6584
Fax Number	:

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

Provider Enumeration Date	:	09/01/2010
Last Update Date	:	02/04/2025

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