Individual ProviderMark RotlewiczPediatricsAllopathic & Osteopathic PhysiciansPractice Address9611 W Broward Blvd, Plantation, FL 33324-2334(954) 424-7000PECOS EnrollmentBased on the most recent information from CMS, provider Mark Rotlewicz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1790774511Provider TypeIndividualFull NameRotlewicz, MarkCredentialMDGenderMaleSole ProprietorNoEnumeration Date10/14/2005Last Updated10/9/2013Contact InformationPractice LocationPractice Address9611 W Broward Blvd, Plantation, FL 33324-2334Phone(954) 424-7000Fax(954) 424-6003Mailing LocationMailing Address900 S Pine Island Rd, Ste 800, Plantation, FL 33324-3920Phone(954) 424-7000Fax(954) 424-6003Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseME42983FloridaProvider IdentifiersIDDescriptionIssuerID046770700DescriptionMedicaidIssuerUnlistedFlorida