Individual
SUSAN ELIZABETH RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 OLD DIXIE HWY, TITUSVILLE, FL 32796-2024
(321) 305-7767
Mailing address
1150 OLD DIXIE HWY, TITUSVILLE, FL 32796-2024
(321) 305-7767
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
L22000191812
FL
376J00000X
Homemaker
—
FL
Other
Enumeration date
08/18/2021
Last updated
09/01/2023
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