MEDICARE: MR. ROOLS PIERRE

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
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1073335238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROOLS PIERRE

Provider Business Mailing Address
First Line	:	6303 SEVEN SPRINGS BLVD APT A
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-1668
Country	:	US
Telephone Number	:	561-599-1827
Fax Number	:

Provider Business Practice Location Address
First Line	:	6303 SEVEN SPRINGS BLVD APT A
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-1668
Country	:	US
Telephone Number	:	561-599-1827
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2024
Last Update Date	:	10/29/2024

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Directions to “ MR. ROOLS PIERRE ” Practice Location

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