Individual
AMANDA ELIZABETH ROLDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1000
Mailing address
10331 SW 55TH ST, MIAMI, FL 33165-7012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9118570
FL
Other
Enumeration date
03/20/2024
Last updated
03/22/2024
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