ROBERTA A. MIX, D.O., P.A.
Marriage and Family Therapists at Trinity Oaks Blvd, New Port Richey, FL

License number
Florida OS7532
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. ROBERTA ANN MIX D.O.
Title: PRESIDENT
Phone: (727) 376-8885
Address
Address
2102 Trinity Oaks Blvd SUITE 201, New Port Richey, FL 34655
National Provider ID: 1831282110
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Roberta A. Mix, D.O., PA

Palm Harbor, FL  -  New Port Richey, FL

Registration:
May 3, 1999
Addresses:
36181 E Lk Rd, Palm Harbor, FL 34685
2102 Trinity Oaks Blvd, New Port Richey, FL 34655
5117 Jewell Ter, Palm Harbor, FL 34685
State ID:
P99000040615
Business type:
Domestic for Profit Corporation
CFO, Chairmans:
Roberta A. Mix (President, Secretary, Director),John Carson (CFO, Chairman)

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