Individual
ROGER LEE WITTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4240 SUN 'N LAKE BOULEVARD, SUITE 202, SEBRING, FL 33872
(863) 471-3926
(863) 385-3093
Mailing address
4240 SUN 'N LAKE BOULEVARD, SUITE 202, SEBRING, FL 33872
(863) 471-3926
(863) 385-3093
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
ME102099
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000446200
—
FL
Enumeration date
07/14/2006
Last updated
04/02/2015
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