Healthcare Provider Details

I. General information

NPI: 1588100051
Provider Name (Legal Business Name): KYLE ROBERTS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2017
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3733 NE 163RD ST
NORTH MIAMI BEACH FL
33160-4104
US

IV. Provider business mailing address

3733 NE 163RD ST
NORTH MIAMI BEACH FL
33160-4104
US

V. Phone/Fax

Practice location:
  • Phone: 305-940-2225
  • Fax:
Mailing address:
  • Phone: 305-940-2225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH 12036
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: