Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | ME145966 | FL |
N | 207RX0202X | Medical Oncology | 35.130976 | OH |
NPI | 1114346988 |
---|---|
Provider Name | Sherise Chantell Rogers |
First Address | Gainesville, FL 32610-0001 |
Second Address | Gainesville, FL 32610-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2014 |
Last Update Date | 21/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
107261400 | (05) | FL |