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NPI Code Detail

MEDICARE: DR. DIANE MARIE ROGERS MD

MEDICARE: DR. DIANE MARIE ROGERS MD
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
1207Q00000XFamily Medicine PhysicianME92268FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2P00470355OTHERFLRR MCARE
392185OTHERFLBCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518981794
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANE MARIE ROGERS MD
Provider Business Mailing Address
First Line : 5130 SUNFOREST DR STE 300
Second Line :
City : TAMPA
State : FL
Zip : 33634-6327
Country : US
Telephone Number : 727-824-0780
Fax Number :
Provider Business Practice Location Address
First Line : 5130 SUNFOREST DR STE 300
Second Line :
City : TAMPA
State : FL
Zip : 33634-6327
Country : US
Telephone Number : 727-824-0780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 04/28/2026

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Directions to “ DR. DIANE MARIE ROGERS MD” Practice Location

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