Individual
CHRISTOPHER ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2510 NW 25TH ST, CAPE CORAL, FL 33993-8269
(239) 888-4051
Mailing address
PO BOX 152934, CAPE CORAL, FL 33915-2934
(239) 888-4051
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
FL
343900000X
Non-emergency Medical Transport (VAN)
R163110833400
FL
372600000X
Adult Companion
—
FL
3747A0650X
Attendant Care Provider
Primary
—
FL
376J00000X
Homemaker
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012283000
—
FL
Enumeration date
06/09/2014
Last updated
10/04/2014
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