Individual
DR. MICHAEL DON ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1314 E VENICE AVE STE B, VENICE, FL 34285-7160
(800) 991-6117
Mailing address
3820 NORTHDALE BLVD STE 201, TAMPA, FL 33624-1893
(800) 991-6117
(888) 812-8191
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
17368
WV
208600000X
Surgery Physician
Primary
ME141842
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0048334000
—
WV
05
—
2055565
—
OH
01
—
298185
MAMSI
—
01
—
311599387005
MOUNTAIN STATE BCBS
WV
01
—
5880656
AETNA
WV
01
—
WV17368
HEALTH PLAN
WV
Enumeration date
07/13/2005
Last updated
03/09/2026
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