Roberts, Shelia Y

Roberts, Shelia Y is an individual health care provider with primary practice located at 289 Sw Stonegate Ter Suite 103, Lake City FL 32024-3457. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Roberts, Shelia Y can be contacted via phone (386) 755-1655.

Contact Information

Primary practice address
289 Sw Stonegate Ter Suite 103 Lake City FL 32024-3457
Phone: (386) 755-1655
Fax: (386) 755-2330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP683592 Florida

Profile Details

NPI number 1750358073
LBN Legal business name Roberts, Shelia Y
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2006
Last updated Mar 9th, 2016 - about 8 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 1750358073 NPPES
Florida Other PTAN E6480V LINKED TO GROUP PTAN IE881A EFFECTIVE 07/01/15
Florida MEDICAID 303991900 LINKED TO GROUP PTAN IE881A EFFECTIVE 07/01/15
Florida Other K9539 LINKED TO GROUP PTAN IE881A EFFECTIVE 07/01/15

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