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1649368556 NPI number — CHERI MARIE JROLF DMSC, PA-C

NPI Number: 1649368556
Health Care Provider/Practitioner: CHERI MARIE JROLF DMSC, PA-C

Information about “1649368556” NPI (CHERI MARIE JROLF DMSC, PA-C) exists in 1649368556 in HTML format HTML  |  1649368556 in plain Text format TXT  |  1649368556 in PDF (Portable Document Format) PDF  |  1649368556 in an XML format XML  formats.

NPI Number : 1649368556 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649368556",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JROLF",
    "FirstName": "CHERI",
    "MiddleName": "MARIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "DMSC, PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "824 MANNS HARBOR DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "APOLLO BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33572-3393",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "941-350-4545",
    "MailingAddressFaxNumber": "813-655-1775",
    "FirstLinePracticeLocationAddress": "6421 N FLORIDA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TAMPA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33604-6007",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-244-5530",
    "PracticeLocationAddressFaxNumber": "813-807-3391",
    "EnumerationDate": "10/10/2006",
    "LastUpdateDate": "11/04/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "PA9102012",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "PA9102012",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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