Organization
VIRTUHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODELINE JOSEPH PA (PHYSICIAN ASSISTANT)
(954) 256-6392
Entity
Organization
Contact information
Practice address
3963 LAGRONE ST, POWDER SPRINGS, GA 30127-6082
(954) 256-6392
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(954) 256-6392
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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