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Individual
THOMAS A ROBERTS
Active
Individual
THOMAS A ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0005017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050444100
—
FL
01
—
350019603
RAILROAD MEDICARE
FL
01
—
5673008
AETNA INSURANCE
FL
01
—
70632
BLUE SHIELD OF FLORIDA
FL
01
—
70632Z
MEDICARE PTAN
FL
Enumeration date
06/08/2005
Last updated
11/05/2008
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