person
Jose Juan Chavac Rodas
Acute Care Nurse Practitioner in Melbourne, Florida
NPI 1174232896

Jose Juan Chavac Rodas is an Acute Care Nurse Practitioner based in Rockledge, FL and is specialized in Acute Care. Jose Juan Chavac Rodas practices in Melbourne, FL. The NPI Number for Jose Juan Chavac Rodas is 1174232896 and holds a License No. APR11023149 (Florida).

The current practice location address for Jose Juan Chavac Rodas is 1350 Hickory St, Melbourne, FL and can be reached out via phone at 321-434-1401 and via fax at 321-434-1667.

Location: 1350 Hickory St, Melbourne, FL, 32955-4306
person
Provider Profile Details
NPI Number
1174232896
Provider Name
Jose Juan Chavac Rodas
Credential
Provider Entity Type
Individual
Gender
Male
Address
1350 Hickory St, Melbourne, FL, 32955-4306
Phone Number
321-434-1401
Fax Number
321-434-1667
Provider Enumeration Date
11/21/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
QA194 01 FL MEDICARE HFPSI
QA196 01 FL MEDICARE HFMG
116517200 05 FL
institution
Provider Business Practice Location Address Details
Address
1350 Hickory St
City
State
Zip
32901-3224
Phone Number
321-434-1401
Fax Number
321-434-1667
person
Provider Business Mailing Address Details
Address
1350 Hickory St
City
State
Zip
32901-3224
Phone Number
321-434-1401
Fax Number
321-434-1667
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
APR11023149 (Florida)
Definition
Definition to come...
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