Individual
BILLY ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP, CRNA
Contact information
Practice address
4513 ORANGEWOOD LOOP W., LAKELAND, FL 33813
(863) 513-2352
Mailing address
4513 ORANGEWOOD LOOP W, LAKELAND, FL 33813-1851
(863) 513-2352
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9243773
FL
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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