Individual
MELISSA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2191 9TH AVE N, ST PETERSBURG, FL 33713-7146
(727) 820-7778
Mailing address
10053 VICTORY GALLOP LOOP, RUSKIN, FL 33573-6744
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
9324598
FL
363LG0600X
Gerontology Nurse Practitioner
9324598
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
9324598
FL
Other
Enumeration date
01/22/2017
Last updated
04/30/2020
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