Organization
GEOFFREY ROBERTS, D.O.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY ROBERTS D.O. (PHYSICIAN)
(352) 795-5544
Entity
Organization
Contact information
Practice address
756 N SUNCOAST BLVD, CRYSTAL RIVER, FL 34429-9072
(352) 795-5544
Mailing address
756 N SUNCOAST BLVD, CRYSTAL RIVER, FL 34429-9072
(352) 795-5544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS4752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660031000
—
FL
01
—
82659
BCBS
FL
01
—
K0670
MEDICARE PART B TRADITION
FL
Enumeration date
09/14/2005
Last updated
08/23/2011
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