Provider Demographics
NPI:1487822698
Name:RODGERS, LATONYA (ARPN)
Entity type:Individual
Prefix:
First Name:LATONYA
Middle Name:
Last Name:RODGERS
Suffix:
Gender:F
Credentials:ARPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 OAKFIELD DR STE 120
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4931
Mailing Address - Country:US
Mailing Address - Phone:813-324-7889
Mailing Address - Fax:813-324-7244
Practice Address - Street 1:710 OAKFIELD DR STE 120
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4931
Practice Address - Country:US
Practice Address - Phone:813-324-7889
Practice Address - Fax:813-324-7244
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN13138363LF0000X
FLAPRN11019310363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily