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Individual

DR. JOHN E ROBERTS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5700 N FEDERAL HWY, SUITE ONE, FORT LAUDERDALE, FL 33308-2600
(954) 491-6400
(954) 771-8835
Mailing address
5700 N FEDERAL HWY, SUITE ONE, FORT LAUDERDALE, FL 33308-2600
(954) 491-6400
(954) 771-8835

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
0068639
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020031374
RAILROAD MEDICARE
FL
01
093066
CIGNA
FL
01
20342
NEIGHBORHOOD HEALTH PARTN
FL
01
246691
AVMED
FL
05
250732300
FL
01
27794
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/26/2006
Last updated
07/16/2010
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