Individual
DR. TED ROBERTSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 HEALTH BLVD, DAYTONA BEACH, FL 32114-1492
(386) 252-5858
(386) 252-4477
Mailing address
500 HEALTH BLVD, DAYTONA BEACH, FL 32114-1492
(386) 252-5858
(386) 252-4477
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35.071420
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
ME104386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002343800
—
FL
Enumeration date
02/10/2006
Last updated
01/25/2022
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