Roberts, Thomas G

Roberts, Thomas G is an sole proprietor health care provider with primary practice located at 12671 Emerald Coast Pkwy W Unit 215, Miramar Beach FL 32550-8300. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Roberts, Thomas G can be contacted via phone (850) 424-7170.

Contact Information

Primary practice address
12671 Emerald Coast Pkwy W Unit 215 Miramar Beach FL 32550-8300
Phone: (850) 424-7170
Fax: (850) 424-7169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 3482 Florida

Profile Details

NPI number 1205859857
LBN Legal business name Roberts, Thomas G
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Jun 15th, 2011 - about 15 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 1205859857 NPPES
Florida Other PA0003482 STATE LICENSE NUMBER

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