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Individual

DR. JOSEPH RAYMOND ROEBUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD MD

Contact information

Practice address
3200 TRIDENT TERRACE, NEW PORT RICHEY, FL 34652
(941) 955-0200
(888) 959-4782
Mailing address
PO BOX 15069, DEPT OF RADIOLOGY, ROUTE 0793, SARASOTA, FL 34277
(941) 955-0200
(888) 959-4782

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
223797
MA
2085R0202X
Diagnostic Radiology Physician
Primary
42247
TX
2085R0202X
Diagnostic Radiology Physician
A99222
CA
2085R0202X
Diagnostic Radiology Physician
ME 109356
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018949700
FL
05
2102650
MA
01
J28799
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/03/2006
Last updated
11/23/2016
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