Provider Demographics
NPI:1558982629
Name:ROSELAND, VALERIE MICHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:MICHELLE
Last Name:ROSELAND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5427
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34277-5427
Mailing Address - Country:US
Mailing Address - Phone:941-259-8009
Mailing Address - Fax:
Practice Address - Street 1:1509 S FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-2258
Practice Address - Country:US
Practice Address - Phone:863-616-1370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-30
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13122111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor