Thomas G Roberts in Miramar Beach - Medical

Thomas G Roberts - NPI 1205859857

Thomas G Roberts is a Medical in Miramar Beach, Florida. Thomas G Roberts practices all healthcare services and medical treatments related to Medical. The NPI Number for Thomas G Roberts is 1205859857. The last update date is 2011-06-15.

Thomas G Roberts's current location address is 12671 Emerald Coast Pkwy W Unit 215, Miramar Beach, Florida. You can contact this provider via phone number 8504247170 and fax number 8504247169. The mailing address for Thomas G Roberts is 12671 Emerald Coast Pkwy W Unit 215, Miramar Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas G Roberts
Address 12671 Emerald Coast Pkwy W Unit 215, Miramar Beach, Florida
Phone Number 8504247170
Fax Number 8504247169
Sole Proprietor Y
Credentials PA-C

NPI Number Detail

NPI Number 1205859857
Provider Enumeration Date 2006-07-25
Last Updated Date 2011-06-15

Provider Mailing Address Detail

Address 12671 Emerald Coast Pkwy W Unit 215
City Miramar Beach
State Florida (FL)
Post Code 325508304
Phone Number 8504247170
Fax Number 8504247169

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA 3482
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA0003482 FL STATE LICENSE NUMBER

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FAQs about Thomas G Roberts

What is the unique identifier code issued to Thomas G Roberts by the Centers for Medicare & Medicaid Services (CMS)?

The Thomas G Roberts has been assigned the NPI (National Provider Identifier) 1205859857. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Thomas G Roberts's facilities are geographically located?

The facilities of Thomas G Roberts are physically situated at the following location: 12671 Emerald Coast Pkwy W Unit 215, Miramar Beach, FL, 325508304.

What is the Thomas G Roberts's specialty and taxonomy code?

The Thomas G Roberts's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

When was the Thomas G Roberts's 1205859857 issued?

The Thomas G Roberts's 1205859857 was issued on 2006-07-25.

As of what date was the information pertaining to Thomas G Roberts, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Thomas G Roberts, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-06-15.

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