Individual
JOSE ANDRES CHAVAC RODAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
275 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-3529
(321) 799-7777
Mailing address
220 BARTON BLVD, ROCKLEDGE, FL 32955-2742
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11031944
FL
Other
Enumeration date
04/17/2023
Last updated
04/19/2024
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