Provider Demographics
NPI:1831629278
Name:NOSKOW, BRITTANY ROZEN (OD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:ROZEN
Last Name:NOSKOW
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:9999 SHERIDAN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3086
Mailing Address - Country:US
Mailing Address - Phone:954-447-0606
Mailing Address - Fax:954-447-0605
Practice Address - Street 1:9999 SHERIDAN ST STE 100
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-3086
Practice Address - Country:US
Practice Address - Phone:954-447-0606
Practice Address - Fax:954-447-0605
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-18
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003268152W00000X
FLOPC5425152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist