Individual
DR. JEREMY B ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
FLORIDA ENT & ALLERGY, 1139 NIKKI VIEW DR., BRANDON, FL 33511-4879
(813) 879-8045
(813) 685-2477
Mailing address
SELECT PHYSICIANS ALLIANCE, 10002 PRINCESS PALM AVE. STE 332, TAMPA, FL 33619-8327
(813) 571-7184
(813) 654-4695
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME104608
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
ME104608
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001213100
—
FL
Enumeration date
09/27/2007
Last updated
05/03/2019
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