Individual
DEANA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH
Contact information
Practice address
3954 ANDERSON WOODS DR, JACKSONVILLE, FL 32218-9218
(904) 514-1242
(904) 779-1994
Mailing address
3954 ANDERSON WOODS DR, JACKSONVILLE, FL 32218-9218
(904) 514-1242
(904) 779-1994
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6883611379
—
FL
05
—
688361396
—
FL
Enumeration date
06/20/2018
Last updated
05/11/2024
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