Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CH0006043 | FL |
NPI | 1407930266 |
---|---|
Provider Name | Scott L Rohner |
First Address | Sarasota, FL 34230-3409 |
Second Address | Sarasota, FL 34233-1210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U31144 | (02) | FL |