Roane, Douglas W

Roane, Douglas W is an individual health care provider with primary practice located at 2100 Kingsley Ave , Orange Park FL 32073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Roane, Douglas W can be contacted via phone (904) 276-0001.

Contact Information

Primary practice address
2100 Kingsley Ave Orange Park FL 32073
Phone: (904) 276-0001
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME128287 Florida

Profile Details

NPI number 1659478220
LBN Legal business name Roane, Douglas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Apr 4th, 2019 - about 6 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 1659478220 NPPES
Florida Other ZT66G FLORIDA BLUE
Florida Other 000019111 FLORIDA BLUE
Florida MEDICAID 0018037 FLORIDA BLUE

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