Individual
KEVIN JOSEPH DE LA ROZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 649-6907
(407) 481-2035
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 649-6907
(407) 481-2035
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
239229
NY
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME104132
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001322300
—
FL
01
—
ME104132
MEDICAL LICENSE
FL
Enumeration date
04/15/2008
Last updated
11/11/2016
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