Healthcare Provider Details

I. General information

NPI: 1063089621
Provider Name (Legal Business Name): CHRISTOPHER GEORGE ROHNER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2021
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 S PENINSULA DR
DAYTONA BEACH FL
32118-4422
US

IV. Provider business mailing address

743 CLAY ST APT 344
WINTER PARK FL
32789-4599
US

V. Phone/Fax

Practice location:
  • Phone: 386-310-2160
  • Fax: 386-310-2106
Mailing address:
  • Phone: 407-202-0347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS23746
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: