Healthcare Provider Details

I. General information

NPI: 1306865472
Provider Name (Legal Business Name): KATHRYN CLAIRE EISERMANN-ROGERS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 03/25/2024
Certification Date: 03/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6705 SW 57TH AVE SUITE 318
CORAL GABLES FL
33143-3638
US

IV. Provider business mailing address

7800 SW 87TH AVE STE C-340
MIAMI FL
33173-3570
US

V. Phone/Fax

Practice location:
  • Phone: 305-665-1623
  • Fax: 305-666-9176
Mailing address:
  • Phone: 305-595-0109
  • Fax: 305-279-5899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberME53004
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: