Individual
MICHAEL J ROGGELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1231 N TUTTLE AVE, SARASOTA, FL 34237-3116
(941) 366-0134
(866) 622-3009
Mailing address
PO BOX 1000 DEPT 394, MEMPHIS, TN 38148-0001
(941) 300-4440
(941) 404-1760
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11012597
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115704700
—
FL
Enumeration date
04/05/2019
Last updated
08/15/2024
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