Doctor Name: | PROF. HENRY O ROJAS |
NPI Number: | 1629235130 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICIANS ASSISTANT |
License Number: | PA9100932 |
Business Practice Address: | 9299 Sw 152nd St Suite 202 Village Of Palmetto Bay, FL - 331571737 |
Business Phone Number: | 3052552500 |
Business Fax Number: | 3052555395 |
Mailing Address: | 9299 Sw 152nd St, Suite 202 VILLAGE OF PALMETTO BAY |
State: | FL |
Postal Code: | 331571737 |
Phone Number: | 3052552500 |
Fax Number: | 3052555395 |
NPI Enumeration Date: | 05/21/2008 |
NPI Last Update Date: | 05/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA9100932 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |