Organization
DORTHEANNE J. ROBERTS, OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORTHEANNE JOY ROBERTS OD (PRESIDENT)
(904) 252-5426
Entity
Organization
Contact information
Practice address
401 BAY ST, GREEN COVE SPRINGS, FL 32043-4109
(904) 529-9062
Mailing address
1486 WATER PIPIT LN, FLEMING ISLAND, FL 32003-7238
(904) 252-5426
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4200
FL
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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