Provider Demographics
NPI:1043488513
Name:ALAN S ROUTMAN MD PA
Entity Type:Organization
Organization Name:ALAN S ROUTMAN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:ROUTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-776-4707
Mailing Address - Street 1:5601 N DIXIE HWY
Mailing Address - Street 2:# 210
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-4145
Mailing Address - Country:US
Mailing Address - Phone:954-776-4707
Mailing Address - Fax:954-776-5144
Practice Address - Street 1:5601 N DIXIE HWY
Practice Address - Street 2:# 210
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-4145
Practice Address - Country:US
Practice Address - Phone:954-776-4707
Practice Address - Fax:954-776-5144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-18
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL48628207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL064074300Medicaid
FL064074300Medicaid
FLD30664Medicare UPIN
FL73295Medicare PIN