Wittum, Roger Lee

Wittum, Roger Lee is an individual health care provider with primary practice located at 4240 Sun 'N Lake Boulevard Suite 202, Sebring FL 33872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Wittum, Roger Lee can be contacted via phone (863) 471-3926.

Contact Information

Primary practice address
4240 Sun 'N Lake Boulevard Suite 202 Sebring FL 33872
Phone: (863) 471-3926
Fax: (863) 385-3093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME102099 Florida

Profile Details

NPI number 1922024850
LBN Legal business name Wittum, Roger Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 2nd, 2015 - about 9 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 1922024850 NPPES
Florida MEDICAID 000446200

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