Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME86039 | FL |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME86039 | FL |
NPI | 1437149358 |
---|---|
Provider Name | Robert A Rochman |
First Address | Wellington, FL 33414-6156 |
Second Address | Wellington, FL 33414-6109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2005 |
Last Update Date | 01/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
275168200 | (05) | FL |
I49660 | (02) | FL |