Individual
RODERICK C BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2739 VIA CAPRI UNIT 1021, CLEARWATER, FL 33764-3996
(251) 533-7993
Mailing address
2739 VIA CAPRI UNIT 1021, CLEARWATER, FL 33764-3996
(251) 533-7993
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
FL
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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