Individual
MS. ROBERTA CIROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(904) 396-8750
(904) 396-8759
Mailing address
PO BOX 56560, JACKSONVILLE, FL 32241-6560
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP734562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302780500
—
FL
01
—
Y4423
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/17/2006
Last updated
04/18/2016
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