Provider Demographics
NPI:1326692435
Name:OROZCO, KEVIN GERMAN (MS, LAT, ATC)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:GERMAN
Last Name:OROZCO
Suffix:
Gender:M
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 NW 107TH AVE UNIT R604
Mailing Address - Street 2:
Mailing Address - City:SWEETWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2947
Mailing Address - Country:US
Mailing Address - Phone:801-971-0615
Mailing Address - Fax:
Practice Address - Street 1:11310 SW 17TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33199-8502
Practice Address - Country:US
Practice Address - Phone:801-971-0615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-26
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11377153-48102255A2300X
AZATR-0092082255A2300X
WAA1613192462255A2300X
FLAL73932255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer