| Mr Kenneth M Roberts, PA | |
|
300 Clyde Morris Blvd, Suite C, Ormond Beach, FL 32174-5956 | |
| (386) 673-5100 | |
| (386) 673-6014 |
| Full Name | Mr Kenneth M Roberts |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 300 Clyde Morris Blvd, Ormond Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285748954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Florida Urology Center PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336286251 PECOS PAC ID: 8224927132 Enrollment ID: O20040310001347 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth M Roberts, PA 300 Clyde Morris Blvd, Suite C, Ormond Beach, FL 32174-5956 Ph: (386) 673-5100 | Mr Kenneth M Roberts, PA 300 Clyde Morris Blvd, Suite C, Ormond Beach, FL 32174-5956 Ph: (386) 673-5100 |
Neha D Patel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1245 W Granada Blvd, Ormond Beach, FL 32174 Phone: 386-317-9055 |
Kristen Noel Barnekov Rulka, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Clyde Morris Blvd, Suite C, Ormond Beach, FL 32174 Phone: 386-673-5100 Fax: 386-673-6014 |
Rafat Shafik Iskander, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 Clyde Morris Blvd, Ste A, Ormond Beach, FL 32174 Phone: 386-677-0987 |
Beata Teich, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 325 Clyde Morris Blvd, Suite 340, Ormond Beach, FL 32174 Phone: 386-677-9685 |
Mrs. Kimberly Milligan Shapiro, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 461 S Nova Rd, Ormond Beach, FL 32174 Phone: 386-671-4337 |
Angelica Ray Kraus, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 128 Lynwood Ln, Ormond Beach, FL 32174 Phone: 386-453-8680 |
Meg Pierce, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174 Phone: 386-677-9044 Fax: 386-677-3083 |