Individual
DR. MARIA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 ABACUS AVE, ORMOND BEACH, FL 32174
(561) 777-3652
Mailing address
9 ABACUS AVE, ORMOND BEACH, FL 32174-1047
(561) 777-3652
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5160
FL
152W00000X
Optometrist
OPT 1898
SC
152W00000X
Optometrist
OPT0003182
CO
Other
Enumeration date
11/16/2015
Last updated
03/29/2019
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