Individual
DR. PAULINE J ROLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 3RD ST S STE 101, JACKSONVILLE BEACH, FL 32250-6097
(904) 450-7050
(904) 450-7059
Mailing address
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204-4748
(904) 308-7309
(904) 308-7326
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME86691
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2660288-00
—
FL
05
—
266028800
—
FL
Enumeration date
05/18/2006
Last updated
08/20/2021
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