Provider Demographics
NPI:1023084316
Name:ROUTMAN, ALAN STUART (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:STUART
Last Name:ROUTMAN
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 1:5601 N DIXIE HWY
Mailing Address - Street 2:SUITE # 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:SUITE # 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
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL48628207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL064074300Medicaid
FL064074300Medicaid
FLD30664Medicare UPIN
FL73295Medicare PIN