Individual
KEVIN EDWARD ROHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
120 N RICHARD JACKSON BLVD STE 140, PANAMA CITY BEACH, FL 32407-2522
(850) 532-6168
(850) 532-6568
Mailing address
120 N RICHARD JACKSON BLVD STE 140, PANAMA CITY BEACH, FL 32407-2522
(850) 532-6168
(850) 532-6568
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9103876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AB725Z
MEDICARE PROVIDER #
FL
Enumeration date
08/22/2006
Last updated
12/18/2025
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