Search › Florida › 225700000X
Roberta Broussard, LMT
NPI 1770761256 · on the registry since 2008 · sole proprietor
Practice
- Address
- 4400 Bayou Blvd
Suite 47b
Pensacola, FL 32503 - Phone
- (850) 516-4574
- Organisation at this address
- Concura Inc.
Rule One Llc
Lindsay Dental
Editha Bielitz Inc
John Axley M D P AInferred from a shared address, not stated in the registry. - Clinicians at this address
- 85
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-02-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida