Provider Demographics
NPI:1891104071
Name:HARDIE, ROCHELLE (MBBS)
Entity Type:Individual
Prefix:DR
First Name:ROCHELLE
Middle Name:
Last Name:HARDIE
Suffix:
Gender:F
Credentials:MBBS
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 100277
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0277
Mailing Address - Country:US
Mailing Address - Phone:352-273-9804
Mailing Address - Fax:352-392-6481
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-2012
Practice Address - Country:US
Practice Address - Phone:352-273-9804
Practice Address - Fax:352-392-6481
Is Sole Proprietor?:No
Enumeration Date:2014-08-12
Last Update Date:2021-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME149729207R00000X, 207ZM0300X, 207RI0200X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207ZM0300XAllopathic & Osteopathic PhysiciansPathologyMedical Microbiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program