Provider Demographics
NPI:1033232848
Name:OGLE, SAMUEL ROHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:ROHAN
Last Name:OGLE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:321 MONTGOMERY RD
Mailing Address - Street 2:#160965
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32716-7000
Mailing Address - Country:US
Mailing Address - Phone:407-409-8111
Mailing Address - Fax:407-409-8115
Practice Address - Street 1:70 FOX RIDGE CT
Practice Address - Street 2:STE B
Practice Address - City:DEBARY
Practice Address - State:FL
Practice Address - Zip Code:32713-2752
Practice Address - Country:US
Practice Address - Phone:407-409-8111
Practice Address - Fax:407-409-8115
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-08
Last Update Date:2013-03-08
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Provider Licenses
StateLicense IDTaxonomies
FLME98314208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery