MEDICARE: EMMA ROBLES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	ME15408	FL

General Provider Information

NPI Number	:	1215950407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA ROBLES MD

Provider Business Mailing Address
First Line	:	5775 COLLINS AVE
Second Line	:	#706
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140
Country	:	US
Telephone Number	:	305-867-5754
Fax Number	:

Provider Business Practice Location Address
First Line	:	618 FOREST AVE
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703
Country	:	US
Telephone Number	:	407-886-6201
Fax Number	:	407-886-3822

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	07/08/2007

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