Healthcare Provider Details

I. General information

NPI: 1558045096
Provider Name (Legal Business Name): OSCAR ROJAS DPM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 06/14/2023
Certification Date: 06/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5130 LINTON BLVD STE G1
DELRAY BEACH FL
33484-6597
US

IV. Provider business mailing address

7901 4TH ST N STE 4000
ST PETERSBURG FL
33702-4305
US

V. Phone/Fax

Practice location:
  • Phone: 561-330-4695
  • Fax: 561-330-4696
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. OSCAR ALBERTO ROJAS
Title or Position: OWNER
Credential: DPM
Phone: 786-539-8364