Provider Demographics
NPI:1831476175
Name:VOJCEK, RODGER D (PA-C)
Entity type:Individual
Prefix:
First Name:RODGER
Middle Name:D
Last Name:VOJCEK
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15915 42ND GLN E
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-2881
Mailing Address - Country:US
Mailing Address - Phone:734-216-2932
Mailing Address - Fax:
Practice Address - Street 1:15915 42ND GLN E
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:FL
Practice Address - Zip Code:34219-2881
Practice Address - Country:US
Practice Address - Phone:734-216-2932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-15
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAMD-444363A00000X
MI5601006035363A00000X
FLPA9120494363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant