Individual
JOHN W. ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4106 W LAKE MARY BLVD, SUITE 330, LAKE MARY, FL 32746-3315
(407) 833-9195
(407) 833-9308
Mailing address
4106 W LAKE MARY BLVD, SUITE 330, LAKE MARY, FL 32746-3315
(407) 833-9195
(407) 833-9308
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME37713
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066451100
—
FL
Enumeration date
05/03/2006
Last updated
07/08/2007
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