Individual
MICHAEL ROZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19621 COCHRAN BLVD, PORT CHARLOTTE, FL 33948-2070
(941) 627-9095
Mailing address
19621 COCHRAN BLVD, PORT CHARLOTTE, FL 33948-2070
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
21061
NV
208D00000X
General Practice Physician
84305
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2016
Last updated
11/19/2024
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