Individual
LUIS A. ROLON ORTEGA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
89338
PR
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11008510
FL
Other
Enumeration date
09/03/2020
Last updated
12/28/2021
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