Individual
RUDOLPH R ROSKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316
(954) 355-4527
(954) 468-5251
Mailing address
1608 SE 3RD AVE, THIRD FLOOR CBO-PBS, FORT LAUDERDALE, FL 33316-2564
(954) 847-4273
(954) 847-4176
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME71189
FL
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
ME71189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250418900
—
FL
Enumeration date
04/20/2006
Last updated
08/27/2013
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