Robertson, Ted

Robertson, Ted is an individual health care provider with primary practice located at 500 Health Blvd , Daytona Beach FL 32114-1492. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Robertson, Ted can be contacted via phone (386) 252-5858.

Contact Information

Primary practice address
500 Health Blvd Daytona Beach FL 32114-1492
Phone: (386) 252-5858
Fax: (386) 252-4477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME104386 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35.071420 Ohio

Profile Details

NPI number 1609849496
LBN Legal business name Robertson, Ted
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jan 25th, 2022 - about 2 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 1609849496 NPPES
Florida MEDICAID 002343800

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