LEDY CLEMENCIA ROJAS ROLDAN MD NPI 1184722936

NPI Information

NPI: 1184722936
Provider Name: LEDY CLEMENCIA ROJAS ROLDAN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: FLORIDA HOSPITAL MEDICAL GROUP INC

PECOS Registration: Yes

Address:
9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL
ZIP 32827
Phone: (407) 930-7800
Get Directions

Ledy Clemencia Rojas Roldan, MD is a family medicine in Orlando, FL with 39 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Ledy Clemencia Rojas Roldan, MD NPI is 1184722936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL
ZIP 32827-559
Phone: (407) 930-7800
Fax: (407) 930-7806

The NPI 1184722936 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	58213	GEORGIA	No
2	207W00000X	Ophthalmology	58213	GEORGIA	No
3	207Q00000X	Family Medicine	ME130571	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	58213	OTHER	GEORGIA	LICENSE
2	18BDGRB	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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