Provider Demographics
NPI:1417034240
Name:ROZEN, ALAN SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:SCOTT
Last Name:ROZEN
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 1:465 JUNO DUNES WAY
Mailing Address - Street 2:PLATINUM PALLIATIVE CARE, LLC
Mailing Address - City:JUNO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-2307
Mailing Address - Country:US
Mailing Address - Phone:561-914-2526
Mailing Address - Fax:
Practice Address - Street 1:465 JUNO DUNES WAY
Practice Address - Street 2:PLATINUM PALLIATIVE CARE, LLC
Practice Address - City:JUNO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-2307
Practice Address - Country:US
Practice Address - Phone:561-914-2526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-110966207Q00000X
FLME-120336207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036--110966OtherSTATE LICENSE
FLME-120336OtherFLORIDA MEDICAL LICENSE
FLME-120336OtherFLORIDA MEDICAL LICENSE