Individual
DR. RICHARD CRESCENT ROTELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 161ST AVE, REDINGTON BEACH, FL 33708-1658
(727) 391-2658
Mailing address
515 161ST AVE, REDINGTON BEACH, FL 33708-1658
(717) 391-2658
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME 23844
FL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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