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Individual

ROLAND-AUSTIN FEDERICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1600 SW ARCHER RD, SUITE 4102, GAINESVILLE, FL 32610-3003
(352) 265-0239
(352) 265-1107
Mailing address
PO BOX 100265, GAINESVILLE, FL 32610-0265
(352) 265-0239
(352) 265-1107

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME140063
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME140063
FL
390200000X
Student in an Organized Health Care Education/Training Program
FL

Other

Enumeration date
03/31/2016
Last updated
04/27/2026
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