Individual
CAROLYN BLACKWOOD ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-4603
(954) 542-5723
Mailing address
6590 NW 90TH AVE, TAMARAC, FL 33321-3624
(954) 270-8062
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11017091
FL
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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