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
Phone: (407) 649-6907
Fax: (407) 481-2035
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659545150 | NPPES |
Florida | MEDICAID | 001322300 | |
Florida | Other | ME104132 |
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