Healthcare Provider Details

I. General information

NPI: 1275514085
Provider Name (Legal Business Name): RONALD EDWARD ROHAUS RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5757 N DIXIE HWY
OAKLAND PARK FL
33334-4135
US

IV. Provider business mailing address

8580 NW 19TH DR
CORAL SPRINGS FL
33071-6151
US

V. Phone/Fax

Practice location:
  • Phone: 954-202-4917
  • Fax: 954-939-3234
Mailing address:
  • Phone: 954-202-4917
  • Fax: 954-938-3234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS15512
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPU1645
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: