Individual
NICOLE ROLDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1067 SW SPRUCE ST, PALM CITY, FL 34990-2831
(195) 461-4424
Mailing address
1067 SW SPRUCE ST, PALM CITY, FL 34990-2831
(195) 461-4424
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
11018604
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
11018604
FL
363L00000X
Nurse Practitioner
11018604
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
11018604
FL
Other
Enumeration date
04/14/2023
Last updated
05/12/2026
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