Individual
DR. BRUCE J ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4739 NW 53RD AVE, #A, GAINESVILLE, FL 32653-4800
(352) 371-9847
(352) 371-9526
Mailing address
4739 NW 53RD AVE, #A, GAINESVILLE, FL 32653-4800
(352) 371-9847
(352) 371-9526
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
FLME0043684
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01409
BLUE CROSS
FL
Enumeration date
10/12/2005
Last updated
06/25/2010
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