Provider Demographics
NPI:1013226109
Name:ROUNTREE, VERONICA KIRNES
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:KIRNES
Last Name:ROUNTREE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 MODEST ST
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-3123
Mailing Address - Country:US
Mailing Address - Phone:863-614-5525
Mailing Address - Fax:866-271-5349
Practice Address - Street 1:310 MODEST ST
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-3123
Practice Address - Country:US
Practice Address - Phone:863-614-5525
Practice Address - Fax:866-271-5349
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-07
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker