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Organization

PL ROBERTS ID LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL L. ROBERTS JR. DO (OWNER/ PRESIDENT)
(786) 358-4443
Entity
Organization

Contact information

Practice address
2001 W 68TH ST, HIALEAH, FL 33016-1801
(786) 358-4443
(786) 685-2059
Mailing address
PO BOX 160057, MIAMI, FL 33116-0057
(786) 358-4443
(786) 685-2059

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary

Other

Enumeration date
07/02/2024
Last updated
01/10/2025
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