Individual
MR. GEORGE NORMAN ROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5399 EAST COUNTY HIGHWAY 30A, SUITE 5, SANTA ROSA BEACH, FL 32459-6718
(850) 231-6200
(850) 231-3500
Mailing address
5399 E COUNTY HIGHWAY 30A, SUITE 5, SANTA ROSA BEACH, FL 32459-6717
(850) 231-6200
(850) 231-3500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA31941FL
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290446200
—
FL
Enumeration date
11/10/2006
Last updated
12/18/2013
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