Organization
ROBERTS ORTHOPAEDIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONIA SHAFFEEULLAH (OFFICE MANAGER)
(407) 292-8992
Entity
Organization
Contact information
Practice address
453 N KIRKMAN RD STE 201, ORLANDO, FL 32811-1109
(407) 292-8992
(407) 292-6114
Mailing address
453 N KIRKMAN RD STE 201, ORLANDO, FL 32811-1109
(407) 292-8992
(407) 292-6114
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0041010
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069105400
—
FL
01
—
47628
PTAN
FL
Enumeration date
09/05/2008
Last updated
09/05/2008
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