# ROBERTA REXROTH PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104203892
- **Authorized official:** ROBERTA REXROTH ARNP (PRESIDENT)
- **Authorized official phone:** (352) 293-2833

## Contact information

- **Practice address:** 9256 BIRMINGHAM AVE, WEEKI WACHEE, FL 34613-4424
- **Practice address phone:** (352) 293-2833
- **Practice address fax:** (352) 293-2834
- **Mailing address:** 9256 BIRMINGHAM AVE, WEEKI WACHEE, FL 34613-4424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | FL | Yes |

## Other

- **Enumeration date:** 05/01/2015
- **Last updated:** 05/01/2015
