Individual
MRS. JESSICA ROUNTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9110045
FL
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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