Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 063293 | CT |
NPI | 1235328394 |
---|---|
Provider Name | Dr. Mark C Rogers |
First Address | Miami, FL 33109-0955 |
Second Address | Miami, FL 33109-0955 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2007 |
Last Update Date | 15/10/2007 |