Provider Demographics
NPI:1437692563
Name:HILTON, ROC-ROZA (RN)
Entity Type:Individual
Prefix:
First Name:ROC-ROZA
Middle Name:
Last Name:HILTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4968 AYRSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-0554
Mailing Address - Country:US
Mailing Address - Phone:352-777-1614
Mailing Address - Fax:352-600-6888
Practice Address - Street 1:4968 AYRSHIRE DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-0554
Practice Address - Country:US
Practice Address - Phone:352-777-1614
Practice Address - Fax:352-600-6888
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-21
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9302504163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002400800Medicaid