Individual
PAUL D ROTOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8900 N KENDALL DR, MCVI, MIAMI, FL 33176-2118
(786) 596-5992
Mailing address
8900 N KENDALL DR, MIAMI, FL 33176-2118
(786) 596-5992
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD454353
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME126446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019308700
—
FL
05
—
103011341
—
PA
01
—
LP841
FL MEDICARE
FL
Enumeration date
06/04/2010
Last updated
03/13/2020
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