Provider Demographics
NPI:1306865472
Name:EISERMANN-ROGERS, KATHRYN CLAIRE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:CLAIRE
Last Name:EISERMANN-ROGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7800 SW 87TH AVE STE C-340
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3570
Mailing Address - Country:US
Mailing Address - Phone:305-595-0109
Mailing Address - Fax:305-279-5899
Practice Address - Street 1:6705 SW 57TH AVE
Practice Address - Street 2:SUITE 318
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33143-3638
Practice Address - Country:US
Practice Address - Phone:305-665-1623
Practice Address - Fax:305-666-9176
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME53004207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6638275-004OtherCIGNA
FL003GXOtherPREFERRED CARE PARTNERS
FL001906BAPTOtherNHP
FL09876OtherBCBS
FL003GXOtherPREFERRED CARE PARTNERS
FL09876OtherBCBS