Individual
DONNA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1071 PORT MALABAR BLVD NE STE 106, PALM BAY, FL 32905-5161
(407) 720-8887
(321) 821-6860
Mailing address
1191 MEADOW LAKE RD, ROCKLEDGE, FL 32955-8230
(321) 258-8006
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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