MEDICARE: ALEXIA ANNALEE ROGERS ARNP FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	11038078	FL
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1144028473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIA ANNALEE ROGERS ARNP FNP-BC

Provider Business Mailing Address
First Line	:	1910 E PALM AVE APT 10208
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33605-3840
Country	:	US
Telephone Number	:	603-508-4473
Fax Number	:

Provider Business Practice Location Address
First Line	:	6595 S FLORIDA AVE
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33813-3316
Country	:	US
Telephone Number	:	863-644-1098
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2025
Last Update Date	:	03/07/2025

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