Individual
DR. DONALD WAYNE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2828 S MCCALL RD, STE 21, ENGLEWOOD, FL 34224-7791
(941) 474-8154
(941) 473-3583
Mailing address
2828S MCCALL RD 21, ENGLEWOOD, FL 34224-9517
(941) 474-8154
(941) 473-3583
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS5543
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80126
FL BC
FL
Enumeration date
04/20/2006
Last updated
11/30/2015
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