Individual
DR. ADRIAN PRENTICE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1405 CENTERVILLE RD, SUITE 5400, TALLAHASSEE, FL 32308-4655
(850) 877-0101
(850) 877-2750
Mailing address
1405 CENTERVILLE RD, SUITE 5400, TALLAHASSEE, FL 32308-4655
(850) 877-0101
(850) 877-2750
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0066348
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00610739A
—
GA
01
—
25361
BCBS
FL
Enumeration date
08/11/2006
Last updated
07/08/2007
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