Individual
DR. BRENDALIS DAVILA ROLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
117 W BELT AVE, BUSHNELL, FL 33513-5101
(352) 568-1988
Mailing address
117 W BELT AVE, BUSHNELL, FL 33513-5101
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19202
PR
Other
Enumeration date
10/26/2015
Last updated
11/15/2021
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