Rolle, Garrison A
Rolle, Garrison A is an individual health care provider with primary practice located at 3334 Capital Medical Blvd Ste 400, Tallahassee FL 32308-8405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Rolle, Garrison A can be contacted via phone (850) 877-8174.Contact Information
Primary practice address
3334 Capital Medical Blvd Ste 400
Tallahassee FL 32308-8405
Phone: (850) 877-8174
Fax: (850) 877-5636
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | ME68918 | Florida |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 047143 | Georgia |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME68918 | Florida |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 047143 | Georgia |
Profile Details
NPI number | 1700889540 |
---|---|
LBN Legal business name | Rolle, Garrison A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2005 |
Last updated | Nov 22nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700889540 | NPPES |
Georgia | MEDICAID | 000815372A | |
Georgia | MEDICAID | 000815372C | |
Georgia | MEDICAID | 252503800 |
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