Individual
DR. RALEIGH WILLIS ROLLINS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 CENTRE POINTE BLVD, SO EASTERN UROLOGICAL CENTER PA, TALL, FL 32308
(850) 309-0400
(850) 309-0404
Mailing address
2000 CENTRE POINTE BLVD, SO EASTERN UROLOGICAL CENTER PA, TALL, FL 32308
(850) 309-0400
(850) 309-0404
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0020010
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00166779A
—
FL
01
—
37213
BCBS
FL
Enumeration date
04/26/2006
Last updated
07/08/2007
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