Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME135274 | FL |
NPI | 1518233956 |
---|---|
Provider Name | Mr. Joshua Dov Rogozinski |
First Address | Jacksonville, FL 32216 |
Second Address | Jacksonville, FL 32216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2012 |
Last Update Date | 23/12/2019 |