Individual
ROBOAM FELIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3303 ARCHER AVE, ORLANDO, FL 32833-4240
(202) 534-2534
(407) 513-9601
Mailing address
3303 ARCHER AVE, ORLANDO, FL 32833-4240
(202) 534-2534
(407) 513-9601
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5206619
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN5206619
VETERANS AFFAIRS
FL
Enumeration date
08/27/2021
Last updated
08/27/2021
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