Killeen, Roberta Marie
Killeen, Roberta Marie is an sole proprietor health care provider with primary practice located at 2520 Us Highway 19 , Holiday FL 34691-3846. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Killeen, Roberta Marie can be contacted via phone (727) 934-6905.Contact Information
Primary practice address
2520 Us Highway 19
Holiday FL 34691-3846
Phone: (727) 934-6905
Fax: (727) 934-4045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | ME58665 | Florida |
Profile Details
| NPI number | 1245222447 |
|---|---|
| LBN Legal business name | Killeen, Roberta Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Sep 19th, 2011 - about 15 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 | 1245222447 | NPPES |
| Florida | MEDICAID | 052961300 |
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