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Individual

ROBERTA MARIE KILLEEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2520 US HIGHWAY 19, HOLIDAY, FL 34691-3846
(727) 934-6905
(727) 934-4045
Mailing address
2520 US HIGHWAY 19, HOLIDAY, FL 34691-3846
(727) 934-6905
(727) 934-4045

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
ME58665
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
052961300
FL
Enumeration date
08/16/2005
Last updated
09/19/2011
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