Roberts, Brooke Alison
Roberts, Brooke Alison is an sole proprietor health care provider with primary practice located at 1075 Town Center Dr , Orange City FL 32763-8360. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Roberts, Brooke Alison can be contacted via phone (386) 917-0333.Contact Information
Primary practice address
1075 Town Center Dr
Orange City FL 32763-8360
Phone: (386) 917-0333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | APRN1102166818 | Florida |
Profile Details
| NPI number | 1144963752 |
|---|---|
| LBN Legal business name | Roberts, Brooke Alison |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2022 |
| Last updated | Jun 11th, 2025 - about last year |
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 | 1144963752 | NPPES |
| Florida | MEDICAID | 119068900 |
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