Healthcare Provider Details

I. General information

NPI: 1528032745
Provider Name (Legal Business Name): ROBERTA LEE MAROWITZ ED.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 NIBLICK DR
CASSELBERRY FL
32707-4422
US

IV. Provider business mailing address

951 NIBLICK DR
CASSELBERRY FL
32707-4422
US

V. Phone/Fax

Practice location:
  • Phone: 407-865-3855
  • Fax: 407-696-4073
Mailing address:
  • Phone: 407-865-3855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT652
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberMFT652
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: