Individual
MRS. CATHERINE VAN METER ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
515 W 6TH ST, JACKSONVILLE, FL 32206-4324
(904) 253-1040
(904) 798-4803
Mailing address
515 W 6TH ST, MC #24, JACKSONVILLE, FL 32206-4324
(904) 665-2410
(904) 630-3316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102880
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292414500
—
FL
01
—
31731Y
MEDICARE
—
Enumeration date
06/21/2006
Last updated
03/19/2010
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