Individual
MR. NICHOLAS MARK RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 823-2188
(727) 828-0723
Mailing address
12225 28TH ST N, SUITE A, ST PETERSBURG, FL 33716-1860
(727) 823-2188
(727) 828-0723
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9282943
FL
Other
Enumeration date
06/17/2013
Last updated
07/24/2013
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