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Individual

WILLIAM DEWITT ROGERS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
149 EDINBURGH DR, SUITE A, WINTER PARK, FL 32792-4102
(407) 644-1675
(407) 644-3483
Mailing address
149 EDINBURGH DR, SUITE A, WINTER PARK, FL 32792-4102
(407) 644-1675
(407) 644-3483

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME18428
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
069333200
FL
01
48959
BCBS
FL
01
P00115560
RAILROAD MEDICARE
Enumeration date
05/25/2006
Last updated
11/09/2009
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