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General NPI Number Information
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NPI Number | 1699138909
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Entity Type | Individual
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Provider Name | JONATHAN ROGOZINSKI MD
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Gender | Male
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 3716 UNIVERSITY BLVD S STE 3
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4318
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Country | US
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Telephone | 904-733-3529
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Fax | 904-730-7687
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Provider Business Mailing Address
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Address Line | 3716 UNIVERSITY BLVD S STE 3
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4318
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Country | US
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Telephone | 904-733-3529
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Fax | 904-730-7687
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME160609
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License Number State | FL
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