Individual
DR. ROMMELLE VON SUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 FLORIDA PARK DR N, SUITE 109-110, PALM COAST, FL 32137-3852
(386) 445-3619
(386) 445-6925
Mailing address
1 FLORIDA PARK DR N, SUITE 109-110, PALM COAST, FL 32137-3852
(386) 445-3619
(386) 445-6925
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0062070
FL
Other
Enumeration date
08/11/2006
Last updated
09/21/2011
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