Individual
JORDAN ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 S UNIVERSITY DR STE 5, DAVIE, FL 33328-2001
(954) 998-0345
Mailing address
3501 S UNIVERSITY DR STE 5, DAVIE, FL 33328-2001
(954) 998-0345
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME160909
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
05/06/2026
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