Provider Demographics
NPI:1417323890
Name:SPRINGFELS, ROGER LEN (RRT)
Entity Type:Individual
Prefix:MR
First Name:ROGER
Middle Name:LEN
Last Name:SPRINGFELS
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6014 NW 36TH PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-6904
Mailing Address - Country:US
Mailing Address - Phone:352-214-4440
Mailing Address - Fax:
Practice Address - Street 1:6014 N.W. 36 PL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6904
Practice Address - Country:US
Practice Address - Phone:352-214-4440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT1077227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered