Healthcare Provider Details

I. General information

NPI: 1831476175
Provider Name (Legal Business Name): RODGER D VOJCEK PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2011
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15915 42ND GLN E
PARRISH FL
34219-2881
US

IV. Provider business mailing address

15915 42ND GLN E
PARRISH FL
34219-2881
US

V. Phone/Fax

Practice location:
  • Phone: 734-216-2932
  • Fax:
Mailing address:
  • Phone: 734-216-2932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberAMD-444
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601006035
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9120494
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: