Individual
DR. BRIAN M ROEBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11329 CORTEZ BLVD, BROOKSVILLE, FL 34613-5407
(352) 596-5052
(352) 596-5244
Mailing address
11329 CORTEZ BLVD, BROOKSVILLE, FL 34613-5407
(352) 596-5052
(352) 596-5244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME46566
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016216800
—
FL
01
—
51266Z
BCBS
FL
Enumeration date
07/10/2006
Last updated
11/10/2021
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