Individual
RENEE ELIZABETH DOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
463386 STATE ROAD 200 UNIT A, YULEE, FL 32097-3240
(904) 468-3080
(904) 468-3193
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 282-6331
(904) 619-1080
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD448573
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME146609
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Q9335
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02556394
—
MS
05
—
109854100
—
FL
05
—
2156446
—
LA
Enumeration date
01/13/2010
Last updated
08/22/2022
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