MEDICARE: DR. ALAN K ROBERTS 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	207QA0505X	Adult Medicine Physician	ME30398	FL

General Provider Information

NPI Number	:	1760546204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN K ROBERTS MD

Provider Business Mailing Address
First Line	:	9 ISLAND AVE
Second Line	:	#2407
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-1318
Country	:	US
Telephone Number	:	305-632-2785
Fax Number	:	305-672-2884

Provider Business Practice Location Address
First Line	:	9 ISLAND AVE
Second Line	:	#2407
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-1318
Country	:	US
Telephone Number	:	305-632-2785
Fax Number	:	305-672-2884

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

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	12/30/2008

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