MEDICARE: DR. SCOTT ROSEFF 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	207VE0102X	Reproductive Endocrinology Physician	95728	FL

General Provider Information

NPI Number	:	1396715272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT ROSEFF M.D.

Provider Business Mailing Address
First Line	:	9960 CENTRAL PARK BLVD N
Second Line	:	SUITE 275
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1759
Country	:	US
Telephone Number	:	561-549-9010
Fax Number	:	561-549-9020

Provider Business Practice Location Address
First Line	:	9960 CENTRAL PARK BLVD N
Second Line	:	SUITE 275
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1759
Country	:	US
Telephone Number	:	561-549-9010
Fax Number	:	561-549-9020

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

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	12/30/2016

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