Roebuck, Brian M

Roebuck, Brian M is an individual health care provider with primary practice located at 11329 Cortez Blvd , Brooksville FL 34613-5407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roebuck, Brian M can be contacted via phone (352) 596-5052.

Contact Information

Primary practice address
11329 Cortez Blvd Brooksville FL 34613-5407
Phone: (352) 596-5052
Fax: (352) 596-5244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME46566 Florida

Profile Details

NPI number 1164456059
LBN Legal business name Roebuck, Brian M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Nov 10th, 2021 - about 4 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 1164456059 NPPES
Florida Other 51266Z BCBS
Florida MEDICAID 016216800 BCBS

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