Randall James Rogers in Eustis - Physician Assistant
Randall James Rogers - NPI 1083741722
Randall James Rogers is a Physician Assistant in Eustis, Florida. Randall James Rogers practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Randall James Rogers is 1083741722. The last update date is 2018-11-16.
Randall James Rogers's current location address is 601 Jennings Ave, Eustis, Florida. You can contact this provider via phone number 3523575311 and fax number 3523570659. The mailing address for Randall James Rogers is 601 Jennings Ave, Eustis, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Randall James Rogers |
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Address | 601 Jennings Ave, Eustis, Florida |
Phone Number | 3523575311 |
Fax Number | 3523570659 |
Sole Proprietor | N |
Credentials | PA-C, LMT |
NPI Number Detail
NPI Number | 1083741722 |
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Provider Enumeration Date | 2007-02-28 |
Last Updated Date | 2018-11-16 |
Provider Mailing Address Detail
Address | 601 Jennings Ave |
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City | Eustis |
State | Florida (FL) |
Post Code | 327266148 |
Phone Number | 3523575311 |
Fax Number | 3523570659 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA9102164 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
MA58093 | FL | STATE OF FLORIDA LICENSE | |
PA 9102164 | FL | STATE OF FLORIDA LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Randall James Rogers by the Centers for Medicare & Medicaid Services?
The Randall James Rogers has been assigned the NPI (National Provider Identifier) 1083741722. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Randall James Rogers's facilities are geographically located?
The facilities of Randall James Rogers are physically situated at the following location: 601 Jennings Ave, Eustis, FL, 327266148.
What is Randall James Rogers's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Randall James Rogers is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083741722 to Randall James Rogers?
The Randall James Rogers received its 1083741722 assignment from the Centers for Medicare & Medicaid Services on 2007-02-28.
When was the information related to Randall James Rogers most recently updated or refreshed?
The details pertaining to the Randall James Rogers, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-11-16.
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