Organization
FAMILY MEDICAL PRACTICE OF THE TREASURE COAST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ALFRED ROBERTS M.D. (OWNER)
(772) 468-9901
Entity
Organization
Contact information
Practice address
2100 NEBRASKA AVENUE, STE 205, FORT PIERCE, FL 34950
(772) 645-9901
(772) 465-9870
Mailing address
PO BOX 12250, FORT PIERCE, FL 34979-2250
(772) 645-9901
(772) 465-9870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0034175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068428701
—
FL
01
—
95303
BCBS FL
FL
Enumeration date
09/14/2007
Last updated
05/25/2018
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