Provider Demographics
NPI:1417292509
Name:ROZENFELD, IRINA RAFAILOVNA (APRN, DNP)
Entity Type:Individual
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First Name:IRINA
Middle Name:RAFAILOVNA
Last Name:ROZENFELD
Suffix:
Gender:F
Credentials:APRN, DNP
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:3200 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-2018
Mailing Address - Country:US
Mailing Address - Phone:954-262-4317
Mailing Address - Fax:954-262-2269
Practice Address - Street 1:3321 COLLEGE AVE # 405
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-7705
Practice Address - Country:US
Practice Address - Phone:954-262-2850
Practice Address - Fax:954-262-3850
Is Sole Proprietor?:No
Enumeration Date:2012-11-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL9276644363LA2200X
FLARNP9276644363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health