Individual
DR. ROGER ANDREW STOUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
358 SAN LORENZO AVE, SUITE 3230, CORAL GABLES, FL 33146-1860
(305) 444-6882
(305) 441-9110
Mailing address
358 SAN LORENZO AVE, SUITE 3230, CORAL GABLES, FL 33146-1860
(305) 444-6882
(305) 441-9110
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME90202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11484653
CAQH
—
05
—
270629600
—
FL
Enumeration date
11/08/2006
Last updated
08/05/2010
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