Robelli, Sally Jo

Robelli, Sally Jo is an individual health care provider with primary practice located at 500 Vonderburg Dr Suite 311 West Tower, Brandon FL 33511-5964. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Robelli, Sally Jo can be contacted via phone (813) 654-2445.

Contact Information

Primary practice address
500 Vonderburg Dr Suite 311 West Tower Brandon FL 33511-5964
Fax: (813) 654-9885
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP2732342 Florida

Profile Details

NPI number 1174868764
LBN Legal business name Robelli, Sally Jo
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2012
Last updated May 27th, 2014 - about 12 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 1174868764 NPPES
Florida Other P01135660 R&R MEDICARE

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