Provider Demographics
NPI:1346218187
Name:ROSKIN, AMY CATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:CATHERINE
Last Name:ROSKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1870 N CORPORATE LAKES BLVD UNIT 267415
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326
Mailing Address - Country:US
Mailing Address - Phone:954-718-7180
Mailing Address - Fax:954-780-8025
Practice Address - Street 1:8333 W MCNAB RD
Practice Address - Street 2:STE 122
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-3203
Practice Address - Country:US
Practice Address - Phone:954-718-7180
Practice Address - Fax:954-780-8025
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME68024207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G17689Medicare UPIN
27558XMedicare PIN