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NPI Code Detail

MEDICARE: SHARI ROBERTS FNP

MEDICARE:   SHARI  ROBERTS  FNP
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
1363LF0000XFamily Nurse Practitioner5967CT
2363LF0000XFamily Nurse PractitionerARNP9270485FL

General Provider Information

NPI Number : 1699171462
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARI ROBERTS FNP
Provider Business Mailing Address
First Line : 6350 CENTRAL AVE
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33707-1430
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6350 CENTRAL AVE
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33707-1430
Country : US
Telephone Number : 727-381-1144
Fax Number : 727-381-6901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2014
Last Update Date : 02/02/2015

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