Individual
DR. PETER EDWARD DA ROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2010 59TH ST W, STE 5600, BRADENTON, FL 34209-4616
(941) 798-3524
Mailing address
PO BOX 552106, TAMPA, FL 33655-0001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME60454
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056059600
—
FL
Enumeration date
05/11/2006
Last updated
03/01/2019
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