Individual
MR. ROELL T MILBRY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8700 SOUTHSIDE BLVD APT 313, JACKSONVILLE, FL 32256-8478
(904) 982-2407
Mailing address
PO BOX 23277, JACKSONVILLE, FL 32241-3277
(904) 982-2407
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687829696
—
FL
Enumeration date
06/09/2008
Last updated
06/09/2008
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