Mr. Thomas G. Roberts PA-C
Medical Physician Assistant in Miramar Beach, FL(View on Map)
Full Name
Mr. Thomas G Roberts PA-C
NPI Number
1205859857
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/25/2006
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA 3482
Contact
Information
Purpose
Mailing
Location
Address
12671 EMERALD COAST PKWY W UNIT 215
12671 EMERALD COAST PKWY W
City
Miramar Beach
Miramar Beach
State
FL
FL
Postal Code
32550-8304
32550-8300
Country
US
US
Telephone Number
(850) 424-7170
(850) 424-7170
Identifiers
Identifier
PA0003482
Identifier State
FL
Identifier Issuer
STATE LICENSE NUMBER
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/15/2011
Provider Address
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