Individual
DR. EDWIN BROOKS ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
3960 W NAVY BLVD STE 17, PENSACOLA, FL 32507-1268
(850) 912-8355
(850) 741-8040
Mailing address
3960 W NAVY BLVD STE 17, PENSACOLA, FL 32507-1268
(850) 912-8355
(850) 741-8040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9526
FL
111NR0400X
Rehabilitation Chiropractor
CH9526
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AQ706Z
MEDICARE PTAN
FL
Enumeration date
03/07/2008
Last updated
09/26/2019
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