Rolle, Pauline J

Rolle, Pauline J is an individual health care provider with primary practice located at 3200 3Rd St S Ste 101 , Jacksonville Beach FL 32250-6097. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rolle, Pauline J can be contacted via phone (904) 450-7050.

Contact Information

Primary practice address
3200 3Rd St S Ste 101 Jacksonville Beach FL 32250-6097
Fax: (904) 450-7059
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME86691 Florida

Profile Details

NPI number 1306899711
LBN Legal business name Rolle, Pauline J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Aug 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306899711 NPPES
Florida MEDICAID 2660288-00
Florida MEDICAID 266028800

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