Individual
DR. JOHN WESLEY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5201 BABCOCK ST NE, SUITE 1, PALM BAY, FL 32905-4637
(321) 725-5200
(321) 725-8770
Mailing address
5201 BABCOCK ST NE, SUITE 1, PALM BAY, FL 32905-4637
(321) 725-5200
(321) 725-8770
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CH 5772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22202
BLUE CROSS BLUE SHEILD NU
FL
Enumeration date
03/29/2007
Last updated
07/08/2007
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