NPI 1114422342

Cheyenne Roohani, MD

Practitioner Pediatric Otolaryngology Physician Jacksonville, FL

Practice location

Address: 807 Childrens Way, Jacksonville, FL 32207-8426
Phone: (904) 697-3600
Fax: (904) 687-3927
Mailing address: 10140 Centurion Pkwy N, Jacksonville, FL 32256-0532

Registered specialties

Pediatric Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YP0228X Licence ME161589 (FL)

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Registry record

NPI: 1114422342
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2018
Record last updated: 17 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.