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Individual

DR. ROLAND JOSEPH GINCAUSKAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
307 BOATNER RD STE 114, EGLIN, FL 32542-1302
(850) 883-9506
Mailing address
307 BOATNER RD STE 114, EGLIN, FL 32542-1302
(850) 883-9506

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME32424
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038612000
FL
Enumeration date
09/08/2005
Last updated
02/23/2009
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