Provider Demographics
NPI:1144784778
Name:MORE, ROLAND M (ARNP)
Entity Type:Individual
Prefix:
First Name:ROLAND
Middle Name:M
Last Name:MORE
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18800 SW 41ST ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-2763
Mailing Address - Country:US
Mailing Address - Phone:305-984-5013
Mailing Address - Fax:
Practice Address - Street 1:9090 SW 87TH CT STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2317
Practice Address - Country:US
Practice Address - Phone:305-596-2080
Practice Address - Fax:305-351-7905
Is Sole Proprietor?:No
Enumeration Date:2019-01-28
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11001062363LA2200X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health