Individual
JOSE JULIAN DE LA ROCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13111 US HIGHWAY 301 S, RIVERVIEW, FL 33578-7401
(813) 671-0064
(813) 672-2153
Mailing address
9124 EGRET COVE CIR, RIVERVIEW, FL 33578-3113
(813) 416-5673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3333
FL
Other
Enumeration date
01/31/2007
Last updated
09/01/2016
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