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Organization
RICHARD E. ROGOVIN, DC, PA
Active
Organization
RICHARD E. ROGOVIN, DC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E. ROGOVIN DC (PRESIDENT)
(813) 689-6359
Entity
Organization
Contact information
Practice address
506 WESTBROOK AVE, BRANDON, FL 33511-5316
(813) 689-6359
(813) 681-2633
Mailing address
506 WESTBROOK AVE, BRANDON, FL 33511-5316
(813) 689-6359
(813) 681-2633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 5159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22111
MEDICARE PTAN
FL
Enumeration date
10/30/2008
Last updated
10/30/2008
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