MEDICARE: MS. RACHEL ROGERS SLP

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	235Z00000X	Speech-Language Pathologist	SA9479	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871778381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RACHEL ROGERS SLP

Provider Business Mailing Address
First Line	:	1541 BRICKELL AVE
Second Line	:	APT. #1002
City	:	MIAMI
State	:	FL
Zip	:	33129-1213
Country	:	US
Telephone Number	:	305-984-3033
Fax Number	:	305-858-2977

Provider Business Practice Location Address
First Line	:	1541 BRICKELL AVE
Second Line	:	APT. #1002
City	:	MIAMI
State	:	FL
Zip	:	33129-1213
Country	:	US
Telephone Number	:	305-984-3033
Fax Number	:	305-858-2977

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

Provider Enumeration Date	:	01/03/2008
Last Update Date	:	05/23/2008

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