Individual
CHARLES ROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2056 ALOMA AVE, SUITE 100, WINTER PARK, FL 32792-3340
(407) 629-7980
Mailing address
425 SURREY RUN, CASSELBERRY, FL 32707-3135
(407) 695-1971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT17883
LICENSE #
FL
Enumeration date
08/29/2006
Last updated
07/08/2007
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