Individual
ROGER V OSTRANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 GULF BREEZE PKWY, SUITE 200, GULF BREEZE, FL 32561-7809
(850) 916-3700
(850) 916-3710
Mailing address
1040 GULF BREEZE PKWY, SUITE 200, GULF BREEZE, FL 32561-7809
(850) 916-3700
(850) 916-3710
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME 91128
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271908800
—
FL
01
—
50279
BLUE CROSS BLUE SHIELD
FL
01
—
592-14629
BLUE CROSS BLUE SHIELD
AL
Enumeration date
02/19/2007
Last updated
12/05/2011
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