Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | ME 37415 | FL |
NPI | 1013921105 |
---|---|
Provider Name | Carlos J Rozas |
First Address | Tampa, FL 33614-7107 |
Second Address | Tampa, FL 33614-7107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 21/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
068272100 | (05) | FL |
290005683 | RAILROAD MEDICARE (01) | FL |
D53964 | (02) | FL |