Rogers, Robert Lane

Rogers, Robert Lane is an individual health care provider with primary practice located at 999 Mar Walt Drive White-Wilson East Building, Fort Walton Beach FL 32547. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rogers, Robert Lane can be contacted via phone (850) 863-8255.

Contact Information

Primary practice address
999 Mar Walt Drive White-Wilson East Building Fort Walton Beach FL 32547
Phone: (850) 863-8255
Fax: (850) 862-7965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME41071 Florida

Profile Details

NPI number 1073598983
LBN Legal business name Rogers, Robert Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jan 16th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073598983 NPPES
Florida MEDICAID 069716800
Florida Other 47176

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