Provider Demographics
NPI:1518233956
Name:ROGOZINSKI, JOSHUA DOV (MD)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:DOV
Last Name:ROGOZINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3716 UNIVERSITY BLVD S.
Mailing Address - Street 2:SUITE 3
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216
Mailing Address - Country:US
Mailing Address - Phone:904-733-3529
Mailing Address - Fax:904-730-7687
Practice Address - Street 1:3716 UNIVERSITY BLVD S.
Practice Address - Street 2:SUITE 3
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216
Practice Address - Country:US
Practice Address - Phone:904-733-3529
Practice Address - Fax:904-730-7687
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL390200000X
FLME135274207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program