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Organization
ROBERTS CHIROPRACTIC CENTER INC
Active
Organization
ROBERTS CHIROPRACTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A. ROBERTS D.C. (PRESIDENT/OWNER)
(850) 456-4788
Entity
Organization
Contact information
Practice address
730 N NEW WARRINGTON RD, PENSACOLA, FL 32506-4247
(850) 456-4788
(850) 456-6066
Mailing address
730 N NEW WARRINGTON RD, PENSACOLA, FL 32506-4247
(850) 456-4788
(850) 456-6066
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380741000
—
FL
01
—
AQ607
MEDICARE PTAN GROUP NUMBER
FL
01
—
CL1482
MEDICARE RAILROAD
FL
Enumeration date
09/05/2007
Last updated
03/20/2015
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