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Individual

DR. LAWRENCE W RODGERS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4340 W NEWBERRY RD, SUITE 301, GAINESVILLE, FL 32607-2557
(352) 372-9414
(352) 271-5393
Mailing address
4340 W NEWBERRY RD, SUITE 301, GAINESVILLE, FL 32607-2557
(352) 372-9414
(352) 271-5393

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
ME53588
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14824
BCBS FL
FL
05
370165400
FL
01
CN8028
RAILROAD MEDICARE
FL
Enumeration date
06/08/2006
Last updated
07/16/2014
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