MEDICARE: MISS ROBERTA ANDREEA ENISOR PA

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	363A00000X	Physician Assistant		FL

General Provider Information

NPI Number	:	1760325880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ROBERTA ANDREEA ENISOR PA

Provider Business Mailing Address
First Line	:	1105 CLARA AVE APT 1114
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407-2890
Country	:	US
Telephone Number	:	267-593-4924
Fax Number	:

Provider Business Practice Location Address
First Line	:	1105 CLARA AVE APT 1114
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407-2890
Country	:	US
Telephone Number	:	267-593-4924
Fax Number	:

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

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

Similar Medicare Providers

1750380176 — DR. ALTON HARVEY WAGNON M.D.
Practice Location Address:

2890 E COTTONWOOD PKWY
SALT LAKE CITY, UT
84121-7035

Practice Phone: 801-333-5357
Practice Fax:

1750412896 — CHRISTINA ROYEL HEINER R.PH., MBA
Practice Location Address:

2890 E COTTONWOOD PKWY , #81
SALT LAKE CITY, UT
84121-7035

Practice Phone: 801-333-5562
Practice Fax: 801-333-6558

1841316841 — PACIFIC ENDOSCOPY CENTER, LLC
Practice Location Address:

1029 MAKOLU STREET , SUITE H
PEARL CITY, HI
96782-2890

Practice Phone: 808-456-6420
Practice Fax: 808-456-6421

1952522922 — RESIDENTIAL OPTIONS, INC.
Practice Location Address:

1108 ENGINEER RD
GRANITE CITY, IL
62040-2890

Practice Phone: 618-797-2320
Practice Fax: 618-797-1745

1528305208 — PEC ANESTHESIA LLC
Practice Location Address:

1029 MAKOLU ST , STE H
PEARL CITY, HI
96782-2890

Practice Phone: 808-456-6420
Practice Fax:

1174903249 — LOUISIANA FAMILY MEDICINE CLINIC
Practice Location Address:

2890 DOUGLAS DR , STE. 100
BOSSIER CITY, LA
71111-5806

Practice Phone: 318-742-6900
Practice Fax: 318-742-3900

Directions to “ MISS ROBERTA ANDREEA ENISOR PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.