Individual provider · Type 1 NPI

Jose Juan Chavac Rodas

Acute Care Nurse Practitioner · Melbourne, FL

NPI number 1174232896 Active

Practice location

1350 Hickory St
Melbourne, FL 32901-3224

Fax (321) 434-1667

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Other practice locations

  • 1350 Hickory St Ste 101, Melbourne, FL 32901-3224 · (321) 434-1401
  • 1326 Richwood Cir, Rockledge, FL 32955-4491 · (321) 505-0751

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XAPR11023149 (FL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1174232896

Jose Juan Chavac Rodas's National Provider Identifier is 1174232896, issued on Nov 21, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Melbourne, FL. The record was last updated on Feb 21, 2023.