Organization
JOHN E ROBERTS III MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MARIE TREMBLAY MED. ASST. (FINANCIAL MANAGER)
(954) 491-6400
Entity
Organization
Contact information
Practice address
5700 N FEDERAL HWY, SUITE 1, FT LAUDERDALE, FL 33308-2600
(954) 491-6400
(954) 771-8835
Mailing address
5700 N FEDERAL HWY, SUITE 1, FT LAUDERDALE, FL 33308-2600
(954) 491-6400
(954) 771-8835
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00563
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/16/2007
Last updated
05/16/2008
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