Dortheanne J. Roberts, Od PA

NPI #1942577879 in Green Cove Springs, Florida

Provider Information

NPI Number: 1942577879
Entity Type: Organization
Organization Name: Dortheanne J. Roberts, Od PA
Primary Specialty: Optometrist
Enumeration Date: Nov 21, 2011
Last Updated: Nov 21, 2011

Practice Location

Address: 401 BAY ST
City: Green Cove Springs
State: Florida
ZIP Code: 32043-4109
Phone: (904) 529-9062

Authorized Official

Name: DR. DORTHEANNE JOY ROBERTS, OD
Title: PRESIDENT
Phone: (904) 252-5426

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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