MEDICARE: EILEEN ROSEN, M.D., P.A.

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	202C00000X	Independent Medical Examiner Physician	ME89329	FL

General Provider Information

NPI Number	:	1578766283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EILEEN ROSEN, M.D., P.A.

Provider Business Mailing Address
First Line	:	2008 VALENCIA DR
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-5326
Country	:	US
Telephone Number	:	561-638-5451
Fax Number	:

Provider Business Practice Location Address
First Line	:	2008 VALENCIA DR
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-5326
Country	:	US
Telephone Number	:	561-638-5451
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EILEEN M ROSEN
Credential	:	M.D.
Telephone Number	:	561-638-5451

Provider Enumeration Date	:	06/08/2007
Last Update Date	:	08/22/2020

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