Individual
KARL ROBERTS-ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5047 CENTRAL AVE, ST PETERSBURG, FL 33710-8240
(813) 802-1556
Mailing address
5047 CENTRAL AVE, ST PETERSBURG, FL 33710-8240
(727) 822-2437
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA50480
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000873200
—
FL
01
—
05319414
AMERIGROUP
FL
Enumeration date
06/16/2008
Last updated
08/30/2018
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