Healthcare Provider Details

I. General information

NPI: 1316802986
Provider Name (Legal Business Name): KARLA VANESSA ROJAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17773 SW 2ND ST
PEMBROKE PINES FL
33029-3924
US

IV. Provider business mailing address

2077 NW 107TH DR
CORAL SPRINGS FL
33071-4258
US

V. Phone/Fax

Practice location:
  • Phone: 954-589-2347
  • Fax: 954-301-2246
Mailing address:
  • Phone: 305-414-3054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: