Individual
RODGER KENNETH GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4901 MARKET PLACE RD, PENSACOLA, FL 32504-8986
(855) 527-7246
(833) 810-1165
Mailing address
4901 GRANDE DR STE B, PENSACOLA, FL 32504-5936
(855) 527-7246
(833) 810-1165
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME78069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257491800
—
FL
01
—
46797
BCBS FL
FL
Enumeration date
10/05/2005
Last updated
08/06/2023
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