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NPI 1194880658

NPI 1194880658 : CHERYL J ROBERTS MD, PA : HOBE SOUND, FL

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General NPI Number Information
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    NPI Number           |    1194880658
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHERYL J ROBERTS MD, PA 
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Dates
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    Enumeration Date     |    12/26/2006
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    Last Update Date     |    06/02/2022
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Provider Practice Location Address
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    Address Line         |    100 ESTRADA SQ 
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    City                 |    HOBE SOUND
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    State                |    FL
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    Zip                  |    33455-2400
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    Country              |    US
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    Telephone            |    772-546-3751
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    Fax                  |    772-546-7941
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Provider Business Mailing Address
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    Address Line         |    100 ESTRADA SQ 
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    City                 |    HOBE SOUND
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    State                |    FL
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    Zip                  |    33455-2400
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    Country              |    US
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    Telephone            |    772-546-3751
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    Fax                  |    772-546-7941
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. CHERYL J ROBERTS 
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    Credential           |    M.D.
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    Telephone            |    305-546-7837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    ME0058311
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    License Number State |    FL
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