Individual
RUDOLPH N ROLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2973 ETOWAH PARK BLVD, TAVARES, FL 32778-2002
(352) 516-8943
Mailing address
2973 ETOWAH PARK BLVD, TAVARES, FL 32778-2002
(352) 516-8943
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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