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Individual

LILIVETTE ROLLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME59316
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12802
BLUE CROSS/BLUE SHIELD
FL
05
271691700
FL
01
278713
AMERIGROUP
FL
01
285461
WELLCARE/STAYWELL/HEALTHE
FL
01
3939565
CIGNA
FL
01
3966308
AETNA
FL
01
432062869
EVOLUTIONS HEALTHCARE
FL
01
CCN-55
CCN
FL
01
IH-2280188
FIRST CARE
FL
Enumeration date
08/21/2006
Last updated
12/06/2016
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