Healthcare Provider Details

I. General information

NPI: 1649368556
Provider Name (Legal Business Name): CHERI MARIE JROLF DMSC, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6421 N FLORIDA AVE
TAMPA FL
33604-6007
US

IV. Provider business mailing address

403 COLLIER LN
GALLATIN TN
37066-8260
US

V. Phone/Fax

Practice location:
  • Phone: 813-244-5530
  • Fax: 813-807-3391
Mailing address:
  • Phone: 941-350-4545
  • Fax: 813-953-5464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9102012
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA9102012
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: