Roberts, Renee

Roberts, Renee is an sole proprietor health care provider with primary practice located at 10924 Military Trl , Tallahassee FL 32305-2515. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Roberts, Renee can be contacted via phone (850) 421-0064.

Contact Information

Primary practice address
10924 Military Trl Tallahassee FL 32305-2515
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 02B08871 Florida

Profile Details

NPI number 1497922512
LBN Legal business name Roberts, Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2008
Last updated May 8th, 2008 - about 18 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 1497922512 NPPES
Florida MEDICAID 230035400

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