MEDICARE: AZJAAH ROGERS

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	207Q00000X	Family Medicine Physician	ME170348	FL

General Provider Information

NPI Number	:	1326785718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AZJAAH ROGERS

Provider Business Mailing Address
First Line	:	1600 S ANDREWS AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2510
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	507 S 21ST AVE
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-5015
Country	:	US
Telephone Number	:	786-559-7005
Fax Number	:

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

Provider Enumeration Date	:	05/17/2022
Last Update Date	:	09/17/2025

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Directions to “ AZJAAH ROGERS ” Practice Location

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