Individual
JENNIFER R ROLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
36739 SR 52, SUITE 101, DADE CITY, FL 33525-5101
(813) 333-5233
(813) 940-3234
Mailing address
36739 SR 52, SUITE 101, DADE CITY, FL 33525-5101
(813) 333-5233
(813) 940-3234
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME105900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002822300
—
FL
01
—
P01205219
R&R MEDICARE
FL
Enumeration date
07/27/2006
Last updated
06/10/2016
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