Healthcare Provider Details

I. General information

NPI: 1609783562
Provider Name (Legal Business Name): SOFIA ROJAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 CYPRESS WAY E STE 65
NAPLES FL
34110-9275
US

IV. Provider business mailing address

363 25TH AVE NE
NAPLES FL
34120-1342
US

V. Phone/Fax

Practice location:
  • Phone: 239-596-8530
  • Fax:
Mailing address:
  • Phone: 239-537-9496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT27382
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: