DOCK AND ROLL LLC
NPI 1235589334
Physician Assistant - Surgical in Fort Lauderdale, FL

Active since June 20, 2016
6211 NW 34TH AVE, FORT LAUDERDALE, FL 33309(954) 369-8508 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dock And Roll Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOCK AND ROLL LLC (NPI 1235589334) is a healthcare organization registered as a surgical in Fort Lauderdale, Florida and active in the NPI registry since June 2016. The organization lists Sandra Lynn Freymuth, Csfa, as its authorized official.

NPPES Registry Identity

NPI1235589334
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameDOCK AND ROLL LLC
Location Address6211 NW 34TH AVEFort Lauderdale, FL 33309-1602
Mailing Address6211 Nw 34th AveFort Lauderdale, FL 33309-1602 · (954) 369-8508
Organization SubpartNo
Authorized OfficialSandra Lynn FreymuthCsfa · (954) 369-8508
Enumeration DateJune 20, 2016
NPI 1235589334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
6211 NW 34TH AVE, Fort Lauderdale, FL 33309

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
6211 NW 34TH AVE
FORT LAUDERDALE, FL 33309

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dock And Roll LLC's NPI number?

The NPI number for Dock And Roll LLC is 1235589334. It was assigned to this organization in the NPPES registry on June 20, 2016.

Where is Dock And Roll LLC located?

Dock And Roll LLC is located at 6211 NW 34th Ave, Fort Lauderdale, FL 33309. The listed phone number is (954) 369-8508.

What is Dock And Roll LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Dock And Roll LLC was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.