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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770586877 NPPES
Florida Other 09847 BLUE CROSS BLUE SHIELD
Florida MEDICAID 064827200 BLUE CROSS BLUE SHIELD

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