Roberts, Preston Wilson

Roberts, Preston Wilson is an individual health care provider with primary practice located at 52 W Underwood St , Orlando FL 32806-1110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Roberts, Preston Wilson can be contacted via phone (321) 842-8475.

Contact Information

Primary practice address
52 W Underwood St Orlando FL 32806-1110
Phone: (321) 842-8475
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25884 Nebraska
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME153080 Florida

Profile Details

NPI number 1376787036
LBN Legal business name Roberts, Preston Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2009
Last updated Mar 28th, 2023 - about 3 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 1376787036 NPPES
Florida MEDICAID 114399900
Florida Other PK946
Florida Other XB1XY
Florida Other PS474

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