Individual
LILIVETTE ROLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4602 N ARMENIA AVE, SUITE A 3, TAMPA, FL 33603-2626
(813) 873-1725
(813) 873-2924
Mailing address
4602 N ARMENIA AVE, SUITE A3, TAMPA, FL 33603-2626
(813) 873-1725
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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