Medrano, Roger Charles
Medrano, Roger Charles is an sole proprietor health care provider with primary practice located at 1111 N West Shore Blvd 109-A, Tampa FL 33607-4703. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Medrano, Roger Charles can be contacted via phone (813) 286-2125.Contact Information
Primary practice address
1111 N West Shore Blvd 109-A
Tampa FL 33607-4703
Phone: (813) 286-2125
Fax: (813) 514-4103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA33167 | Florida |
Profile Details
| NPI number | 1356489306 |
|---|---|
| LBN Legal business name | Medrano, Roger Charles |
| Credentials | L.M.T. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356489306 | NPPES |
| Florida | MEDICAID | 681954100 |
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