Roberts, Michael
Roberts, Michael is an sole proprietor health care provider with primary practice located at 3620 N 55Th Ave , Hollywood FL 33021-2344. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Roberts, Michael can be contacted via phone (954) 964-8480.Contact Information
Primary practice address
3620 N 55Th Ave
Hollywood FL 33021-2344
Phone: (954) 964-8480
Fax: (754) 400-8543
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME55375 | Florida |
Profile Details
NPI number | 1770586877 |
---|---|
LBN Legal business name | Roberts, Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 23rd, 2005 |
Last updated | Mar 30th, 2021 - about 3 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 | 1770586877 | NPPES |
Florida | Other | 09847 | BLUE CROSS BLUE SHIELD |
Florida | MEDICAID | 064827200 | BLUE CROSS BLUE SHIELD |
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