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NPI Code Detail

MEDICARE: DR. PAULINE J ROLLE M.D.

MEDICARE:  DR. PAULINE J ROLLE  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianME86691FL

Other Identifiers

General Provider Information

NPI Number : 1306899711
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAULINE J ROLLE M.D.
Provider Business Mailing Address
First Line : 1 SHIRCLIFF WAY
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4748
Country : US
Telephone Number : 904-308-7309
Fax Number : 904-308-7326
Provider Business Practice Location Address
First Line : 3200 3RD ST S STE 101
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-6097
Country : US
Telephone Number : 904-450-7050
Fax Number : 904-450-7059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 08/20/2021

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Directions to “ DR. PAULINE J ROLLE M.D.” Practice Location

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