Roberts, Earl Judson

Roberts, Earl Judson is an individual health care provider with primary practice located at 1401 Forum Way Suite 300, West Palm Beach FL 33401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Roberts, Earl Judson can be contacted via phone (561) 242-0505.

Contact Information

Primary practice address
1401 Forum Way Suite 300 West Palm Beach FL 33401
Phone: (561) 242-0505
Fax: (561) 242-9883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18418 Florida

Profile Details

NPI number 1891796264
LBN Legal business name Roberts, Earl Judson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Aug 7th, 2019 - about 7 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 1891796264 NPPES
Florida MEDICAID 054783200

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