Organization
DONALD W. ROBERTSON, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD W. ROBERTSON D.O. (PRESIDENT)
(941) 474-8154
Entity
Organization
Contact information
Practice address
2828 S MCCALL RD, SUITE 21, ENGLEWOOD, FL 34224-7791
(941) 474-8154
(941) 473-3583
Mailing address
2828 S MCCALL RD, SUITE 26, ENGLEWOOD, FL 34224-7791
(941) 474-8154
(941) 473-3583
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS 5543
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578528683
INDIVIDUAL NPI
FL
Enumeration date
03/04/2010
Last updated
03/04/2010
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