Michael P Roberts MD PA

NPI #1093971061 in Crestview, Florida

Provider Information

NPI Number: 1093971061
Entity Type: Organization
Organization Name: Michael P Roberts MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Jul 30, 2008
Last Updated: Jul 30, 2008

Practice Location

Address: 369 N MAIN ST
City: Crestview
State: Florida
ZIP Code: 32536-3541
Phone: (850) 398-6963

Authorized Official

Name: MICHAEL P ROBERTS, M.D.
Title: OWNER / PHYSICIAN
Phone: (850) 398-6963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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