Roberts, Angela S

Roberts, Angela S is an individual health care provider with primary practice located at 11 Riverside Dr Suite 200, Cocoa FL 32922-7840. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Roberts, Angela S can be contacted via phone (321) 221-7447.

Contact Information

Primary practice address
11 Riverside Dr Suite 200 Cocoa FL 32922-7840
Phone: (321) 221-7447
Fax: (321) 221-7448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10000258A Indiana

Profile Details

NPI number 1023077641
LBN Legal business name Roberts, Angela S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jun 10th, 2016 - about 10 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 1023077641 NPPES
Florida MEDICAID 005813400

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