Rommelle Von Such in Palm Coast - General Practice

Rommelle Von Such - NPI 1124039409

Rommelle Von Such is a General Practice in Palm Coast, Florida. Rommelle Von Such practices all healthcare services and medical treatments related to General Practice. The NPI Number for Rommelle Von Such is 1124039409. The last update date is 2011-09-21.

Rommelle Von Such's current location address is 1 Florida Park Dr N, Palm Coast, Florida. You can contact this provider via phone number 3864453619 and fax number 3864456925. The mailing address for Rommelle Von Such is 1 Florida Park Dr N, Palm Coast, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Rommelle Von Such
Address 1 Florida Park Dr N, Palm Coast, Florida
Phone Number 3864453619
Fax Number 3864456925
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1124039409
Provider Enumeration Date 2006-08-11
Last Updated Date 2011-09-21

Provider Mailing Address Detail

Address 1 Florida Park Dr N
City Palm Coast
State Florida (FL)
Post Code 321373852
Phone Number 3864453619
Fax Number 3864456925

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No ME0062070
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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FAQs about Rommelle Von Such

What is the Rommelle Von Such's 1124039409?

The Rommelle Von Such's NPI (National Provider Identifier) Number is 1124039409. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Rommelle Von Such's facilities are situated?

The facilities of Rommelle Von Such are physically located at the following address: 1 Florida Park Dr N, Palm Coast, FL, 321373852.

What is Rommelle Von Such's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Rommelle Von Such's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.

On what date did the Rommelle Von Such receive its 1124039409 assignment from the Centers for Medicare & Medicaid Services?

The Rommelle Von Such was assigned its 1124039409 by the Centers for Medicare & Medicaid Services on 2006-08-11.

When was the Rommelle Von Such's information last updated?

The Rommelle Von Such's information was last updated on 2011-09-21.

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