Individual
MYRNA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11636 LINDA LN, DADE CITY, FL 33525-8405
(352) 807-7301
(352) 437-4139
Mailing address
11636 LINDA LN, DADE CITY, FL 33525-8405
(352) 807-7301
(352) 437-4139
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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