Provider Demographics
NPI:1922296581
Name:ROJO, ROSA (RN BSN CDE)
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:
Last Name:ROJO
Suffix:
Gender:F
Credentials:RN BSN CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 HARRISON ST STE 606
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-7829
Mailing Address - Country:US
Mailing Address - Phone:954-651-5133
Mailing Address - Fax:800-430-9814
Practice Address - Street 1:1930 HARRISON ST STE 606
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-7829
Practice Address - Country:US
Practice Address - Phone:954-651-5133
Practice Address - Fax:800-430-9814
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2162402163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator