Provider Demographics
NPI:1003081472
Name:ROZNOWSKI, ADRIAN MAXIMILIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:MAXIMILIAN
Last Name:ROZNOWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 S 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-2247
Mailing Address - Country:US
Mailing Address - Phone:917-513-4377
Mailing Address - Fax:765-227-2023
Practice Address - Street 1:8333 W MCNAB RD STE 122
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-3203
Practice Address - Country:US
Practice Address - Phone:954-595-9871
Practice Address - Fax:765-227-2023
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY266276207V00000X
FLME119807207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology