Individual
MR. ROGERICK GREEN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7853 GUNN HWY # 133, TAMPA, FL 33626-1611
(813) 297-8112
(877) 799-6786
Mailing address
7853 GUNN HWY # 133, TAMPA, FL 33626-1611
(813) 297-8112
(877) 799-6786
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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