Individual
GARRISON A ROLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3334 CAPITAL MEDICAL BLVD, STE 400, TALLAHASSEE, FL 32308-8405
(850) 877-8174
(850) 877-5636
Mailing address
3334 CAPITAL MEDICAL BLVD, STE 400, TALLAHASSEE, FL 32308-8405
(850) 877-8174
(850) 877-5636
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
047143
GA
207X00000X
Orthopaedic Surgery Physician
ME68918
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
047143
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME68918
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000815372A
—
GA
05
—
000815372C
—
GA
05
—
252503800
—
FL
Enumeration date
05/24/2005
Last updated
11/22/2021
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