Individual ProviderWanda RolandPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252(904) 345-7600(773) 573-3265PECOS EnrollmentBased on the most recent information from CMS, provider Wanda Roland does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1124290457Provider TypeIndividualFull NameRoland, WandaTitleMs.GenderFemaleSole ProprietorNoEnumeration Date3/26/2008Last Updated10/13/2023Contact InformationPractice LocationPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252Phone(904) 345-7600FaxUnlisted FaxMailing LocationMailing Address1900 Olevia St Apt 239, Jacksonville, FL 32207-3485Phone(773) 573-3265FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT31633FloridaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseJ1-0002227Delaware