Provider Demographics
NPI:1942240205
Name:ROHAN, MICHAEL XAVIER JR (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:XAVIER
Last Name:ROHAN
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2636 JENKS AVE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4387
Mailing Address - Country:US
Mailing Address - Phone:850-481-8752
Mailing Address - Fax:850-481-8758
Practice Address - Street 1:2636 JENKS AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4387
Practice Address - Country:US
Practice Address - Phone:850-481-8752
Practice Address - Fax:850-481-8758
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS12168207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBR9507015OtherDEA