De La Roza, Kevin Joseph

De La Roza, Kevin Joseph is an individual health care provider with primary practice located at 1222 S Orange Ave , Orlando FL 32806-1215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. De La Roza, Kevin Joseph can be contacted via phone (407) 649-6907.

Contact Information

Primary practice address
1222 S Orange Ave Orlando FL 32806-1215
Fax: (407) 481-2035
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 239229 New York
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X ME104132 Florida

Profile Details

NPI number 1659545150
LBN Legal business name De La Roza, Kevin Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated Nov 11th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659545150 NPPES
Florida MEDICAID 001322300
Florida Other ME104132

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