Healthcare Provider Details

I. General information

NPI: 1033753124
Provider Name (Legal Business Name): STEPHEN ROJAS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2019
Last Update Date: 12/14/2023
Certification Date: 12/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 CYPRESS PKWY
KISSIMMEE FL
34759-3456
US

IV. Provider business mailing address

2354 COMMERCE PARK DR STE 100
ORLANDO FL
32819-8601
US

V. Phone/Fax

Practice location:
  • Phone: 407-870-2501
  • Fax: 407-870-2387
Mailing address:
  • Phone: 877-453-4566
  • Fax: 866-537-0877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS49676
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: