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NPI Code Detail

MEDICARE: THOMAS A ROBERTS D.C.

MEDICARE: THOMAS A ROBERTS D.C.
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
1111N00000XChiropractorCH0005017FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
370632ZOTHERFLMEDICARE PTAN
4350019603OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25673008OTHERFLAETNA INSURANCE
570632OTHERFLBLUE SHIELD OF FLORIDA

General Provider Information

NPI Number : 1588668552
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS A ROBERTS D.C.
Provider Business Mailing Address
First Line : 730 N NEW WARRINGTON RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32506-4247
Country : US
Telephone Number : 850-456-4788
Fax Number :
Provider Business Practice Location Address
First Line : 730 N NEW WARRINGTON RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32506-4247
Country : US
Telephone Number : 850-456-4788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 11/05/2008

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Directions to “ THOMAS A ROBERTS D.C.” Practice Location

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