Basic Information
Provider Information
NPI: 1861428906
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROJAS
FirstName: VICTORIA
MiddleName: ANN
NamePrefix: DR.
NameSuffix:  
Credential: AU.D., R.N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SCUTTI
OtherFirstName: VICTORIA
OtherMiddleName: ANN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 2891 NW 29TH AVE
Address2:  
City: BOCA RATON
State: FL
PostalCode: 334346035
CountryCode: US
TelephoneNumber: 9545799104
FaxNumber: 5614778378
Practice Location
Address1: 7701 LAKE WORTH RD
Address2:  
City: LAKE WORTH
State: FL
PostalCode: 334672536
CountryCode: US
TelephoneNumber: 5614398821
FaxNumber: 5614395035
Other Information
ProviderEnumerationDate: 06/23/2006
LastUpdateDate: 09/12/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000XAY1234FLY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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