Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jose Juan Chavac Rodas

Individual provider Acute Care Nurse Practitioner · NPI 1174232896

Jose Juan Chavac Rodas is a Nurse Practitioner in Melbourne, Florida. Qualified in 2022, 4 years ago. Practices with Emergency Physicians of Central Florida LLP, a 123-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1350 Hickory St
Melbourne, FL 32901-3224
Phone: (321) 434-1401
Fax: (321) 434-1667
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APR11023149 (FL)

Record details

NPI number1174232896
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 21, 2022
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Emergency Physicians Of Central Florida Llp — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Melbourne