Individual
RYAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1329 SW 16TH ST, SUITE 5270, GAINESVILLE, FL 32610-0186
(352) 265-5911
Mailing address
1329 SW 16TH ST, PO BOX 100186, GAINESVILLE, FL 32610-0186
(352) 265-5911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME139032
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103412500
—
FL
Enumeration date
04/26/2016
Last updated
05/31/2023
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