Individual
DR. LAURA BETH ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
1312 RIVERVIEW CIR, BRADENTON, FL 34209-1257
(352) 256-9247
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY 1496
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE
FL
Enumeration date
09/19/2008
Last updated
10/30/2009
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