Individual
JENNIFER ASHLEY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
76 UNDERWOOD ST STE 300, ORLANDO, FL 32806-1110
(321) 841-3050
(321) 841-3049
Mailing address
76 UNDERWOOD ST STE 300, ORLANDO, FL 32806-1110
(321) 841-3050
(321) 841-3049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9106236
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9106236
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004158000
—
FL
01
—
PA9106236
MEDICAL LICENSE
FL
Enumeration date
12/07/2011
Last updated
11/19/2025
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