Individual provider Active NPI

Toni A Rolle

  • Family Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1033972625
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030699 Issued in FL
Practice address
701 Victoria St
Brandon, FL 33510-4100
Phone
(813) 681-4220
NPI assigned
Feb 5, 2024
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11030699 FL Primary

Addresses

Primary practice location

701 Victoria St
Brandon, FL 33510-4100

Mailing address

701 N Federal Hwy Ste 601
Hallandale Beach, FL 33009-2467
Phone (954) 482-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304003434 FL Practitioner - Nurse Practitioner 1759802978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

18480 Cochran Blvd
Port Charlotte, FL 33948-3379
Phone (941) 743-4700

1851 Elkcam Blvd
Deltona, FL 32725-3922
Phone (386) 789-3769

2020 W Lake Parker Dr
Lakeland, FL 33805-5005
Phone (863) 682-7580

375 NW 51 St
Boca Raton, FL 33431-4773
Phone (561) 997-8111

4033 Beaver LN
Port Charlotte, FL 33952-9206
Phone (941) 625-3200

701 Victoria St
Brandon, FL 33510-4100
Phone (813) 681-4220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11030699FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC CurrentSince Dec 27, 2024 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Dec 27, 2024 Accepting new patients

Locations

701 Victoria St
Brandon, FL 33510
Phone (813) 681-4220

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1033972625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N FEDERAL HWY STE 601",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092467",
            "telephone_number": "954-482-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 VICTORIA ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104100",
            "telephone_number": "813-681-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLE",
        "first_name": "TONI",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.