Mix, Roberta Ann
Mix, Roberta Ann is an individual health care provider with primary practice located at 2102 Trinity Oaks Blvd Suite 201, Trinity FL 34655-4409. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mix, Roberta Ann can be contacted via phone (727) 376-8885.Contact Information
Primary practice address
2102 Trinity Oaks Blvd Suite 201
Trinity FL 34655-4409
Phone: (727) 376-8885
Fax: (727) 376-7997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS7532 | Florida |
Profile Details
| NPI number | 1851484133 |
|---|---|
| LBN Legal business name | Mix, Roberta Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2006 |
| Last updated | Aug 19th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851484133 | NPPES |
| Florida | Other | 080147946 | RAILROAD MEDICARE |
| Florida | MEDICAID | 011909200 | RAILROAD MEDICARE |
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