Individual
DR. ROSA KUBILIUN-KOTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 987-2000
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
OS8949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267856000
—
FL
01
—
81199
BLUE SHIELD
FL
Enumeration date
06/09/2006
Last updated
04/06/2021
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