Individual
DR. MARTIN ROJAS CANILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14555 CORTEZ BLVD, BROOKSVILLE, FL 34613-6003
(352) 556-4823
(352) 556-4824
Mailing address
14690 SPRING HILL DR, SUITE 101, SPRING HILL, FL 34609-8102
(352) 799-0046
(352) 799-0042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26447
OK
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME123994
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015444400
—
FL
01
—
1213R
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/02/2008
Last updated
07/21/2022
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