Healthcare Provider Details

I. General information

NPI: 1841993995
Provider Name (Legal Business Name): EHITARE ROCIU MD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EHITARE EMUZE MD, MS

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TAMPA GENERAL CIR
TAMPA FL
33606-3571
US

IV. Provider business mailing address

PO BOX 1289
TAMPA FL
33601-1289
US

V. Phone/Fax

Practice location:
  • Phone: 813-974-6548
  • Fax:
Mailing address:
  • Phone: 813-844-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME179639
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number30362
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number125081311
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: