Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ROBERTA A. MIX, D.O., P.A.
Active
Organization
ROBERTA A. MIX, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTA ANN MIX D.O. (PRESIDENT)
(727) 376-8885
Entity
Organization
Contact information
Practice address
2102 TRINITY OAKS BLVD, SUITE 201, TRINITY, FL 34655-4409
(727) 376-8885
(727) 376-7997
Mailing address
2102 TRINITY OAKS BLVD, SUITE 201, TRINITY, FL 34655-4409
(727) 376-8885
(727) 376-7997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7532
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2563461-00
—
FL
01
—
4867933001
DME
FL
Enumeration date
10/01/2006
Last updated
11/26/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up