Individual
MRS. AMANDA LEE ROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5979 VINELAND RD STE 101, ORLANDO, FL 32819-7860
(407) 355-3120
(407) 355-3119
Mailing address
5979 VINELAND RD STE 101, ORLANDO, FL 32819-7860
(407) 355-3120
(407) 355-3119
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9108155
FL
Other
Enumeration date
09/15/2014
Last updated
05/22/2024
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