Individual
SHERRI ANN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
655 W 8TH ST, UFJAX - DEPT. OF EMERGENCY MEDICINE, JACKSONVILLE, FL 32209-6511
(904) 244-5044
(904) 244-5666
Mailing address
PO BOX 44008, UFJP - PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3199
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9103186
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130710135A
—
GA
05
—
130710135B
—
GA
05
—
292046800
—
FL
01
—
P00232772
MEDICARE RAILROAD
—
Enumeration date
06/09/2005
Last updated
11/24/2014
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