Roebuck, Joseph Raymond
Roebuck, Joseph Raymond is an individual health care provider with primary practice located at 3200 Trident Terrace , New Port Richey FL 34652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Roebuck, Joseph Raymond can be contacted via phone (941) 955-0200.Contact Information
Primary practice address
3200 Trident Terrace
New Port Richey FL 34652
Phone: (941) 955-0200
Fax: (888) 959-4782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 223797 | Massachusetts |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 42247 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME 109356 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A99222 | California |
Profile Details
| NPI number | 1932139409 |
|---|---|
| LBN Legal business name | Roebuck, Joseph Raymond |
| Credentials | PHD MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Nov 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932139409 | NPPES |
| Florida | MEDICAID | 018949700 | |
| Florida | MEDICAID | 2102650 | |
| Florida | Other | J28799 |
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