Healthcare Provider Details

I. General information

NPI: 1083547079
Provider Name (Legal Business Name): ROGERS FAMILY CHIROPRACTIC CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5045 FRUITVILLE RD # 125
SARASOTA FL
34232-2268
US

IV. Provider business mailing address

5045 FRUITVILLE RD # 125
SARASOTA FL
34232-2268
US

V. Phone/Fax

Practice location:
  • Phone: 941-556-9378
  • Fax:
Mailing address:
  • Phone: 941-556-9378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: PRESTON ROGERS
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: D.C
Phone: 941-556-9378