Roberta Rexroth Pa

NPI 1104203892 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1104203892
Enumeration Date 05/01/2015
Last Updated 05/01/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name ROBERTA ROBERTA
Position PRESIDENT
Phone (352) 293-2833
Fax (352) 293-2834
Practice Location
9256 BIRMINGHAM AVE
WEEKI WACHEE FL, 34613-4424, US
Phone (352) 293-2833
Fax (352) 293-2834
Business Location
9256 BIRMINGHAM AVE
WEEKI WACHEE FL, 34613-4424, US
Phone
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State
License Number
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According to our database, Roberta Rexroth Pa NPI is 1104203892, taxonomy code is 363LA2200X Roberta Rexroth Pa physically located at 9256 Birmingham Ave, Weeki Wachee FL, 34613-4424. NPI Number 1033115704 has the healthcare provider type.

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1104203892 NPI number is provided on an as is basis without warranty of any kind. 1104203892 is maintained by the National Plan & Provider Enumeration System. The contents of Roberta Rexroth Pa are for informational purposes only.