Dr. Brielle Lynn Roggow
Podiatrist
712 The Rialto
Venice
, Florida 34285-3524
Dr. Brielle Lynn Roggow
Podiatrist
712 The Rialto
Venice
, Florida 34285-3524
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Brielle Lynn Roggow
- 712 The Rialto
- Venice, FL
- Zip : 34285-3524
- Phone :
Second Address
- Dr. Brielle Lynn Roggow
- 712 The Rialto
- Venice, FL
- Zip : 34285-3524
- Phone : (941) 488-0222
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO3772 | FL |
| Y | 222Z00000X | Podiatrist | PO3772 | FL |
National Provider Identifier
| NPI | 1033559612 |
|---|---|
| Provider Name | Dr. Brielle Lynn Roggow |
| First Address | Venice, FL 34285-3524 |
| Second Address | Venice, FL 34285-3524 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2013 |
| Last Update Date | 03/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| PO3772 | STATE LICENSE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.