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NPI Code Detail

MEDICARE: SHEIDON ROBERTS

MEDICARE: SHEIDON ROBERTS
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
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT12711OTHERFLLICENSE #

General Provider Information

NPI Number : 1962511550
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEIDON ROBERTS
Provider Business Mailing Address
First Line : 11428 GLENMONT DR
Second Line :
City : TAMPA
State : FL
Zip : 33635-1526
Country : US
Telephone Number : 813-925-3179
Fax Number :
Provider Business Practice Location Address
First Line : 10607 SHELDON RD
Second Line :
City : TAMPA
State : FL
Zip : 33626-5114
Country : US
Telephone Number : 813-792-1531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1063521706 — CINDY SHIMAMOTO
Practice Location Address:
10607 SHELDON RD
TAMPA, FL
33626-5114
Practice Phone: 813-792-1531
Practice Fax:
1215250949 — MRS. BROOKE T SIMMS DPT, OCS
Practice Location Address:
10607 SHELDON RD
TAMPA, FL
33626-5114
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Practice Fax: 813-792-1721
1992105563 — TAYLOR MOORE DPT
Practice Location Address:
10607 SHELDON RD
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33626-5114
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Practice Fax: 813-792-1721
1295101772 — ANTONIO MARCELINO ARROYO P.T., D.P.T.
Practice Location Address:
10607 SHELDON RD
TAMPA, FL
33626-5114
Practice Phone: 813-792-1531
Practice Fax: 813-792-1721
1447614631 — MRS. SONYA SHERRELL OTR/L
Practice Location Address:
10607 SHELDON RD
TAMPA, FL
33626-5114
Practice Phone: 727-331-3380
Practice Fax:
1962930511 — CALEB DEVRIES DPT
Practice Location Address:
10607 SHELDON RD
TAMPA, FL
33626-5114
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Practice Fax:

Directions to “ SHEIDON ROBERTS ” Practice Location

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