Healthcare Provider Details

I. General information

NPI: 1548003114
Provider Name (Legal Business Name): KEVIN A ROJAS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2024
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 CENTER DR RM D1-17
GAINESVILLE FL
32610-7201
US

IV. Provider business mailing address

18949 SW 33RD CT
MIRAMAR FL
33029-5839
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-5430
  • Fax:
Mailing address:
  • Phone: 786-416-5723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN29020
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberDN29020
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: