Provider Demographics
NPI:1518748730
Name:ROLPH, DANIEL TREVOR (CSFA)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:TREVOR
Last Name:ROLPH
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Gender:M
Credentials:CSFA
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Mailing Address - Street 1:4220 LUGANO CT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-3434
Mailing Address - Country:US
Mailing Address - Phone:321-442-2454
Mailing Address - Fax:407-386-3006
Practice Address - Street 1:1420 CELEBRATION BLVD STE 200
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34747-5162
Practice Address - Country:US
Practice Address - Phone:321-442-2454
Practice Address - Fax:407-386-3006
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant