Individual ProviderDoris M RobertsNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 Doctors Dr, Panama City, FL 32405-4559(850) 784-7722PECOS EnrollmentBased on the most recent information from CMS, provider Doris M Roberts does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1407309867Provider TypeIndividualFull NameRoberts, Doris MCredentialCNPGenderFemaleSole ProprietorNoEnumeration Date8/2/2016Last Updated6/12/2024Contact InformationPractice LocationPractice Address200 Doctors Dr, Panama City, FL 32405-4559Phone(850) 784-7722Fax(850) 784-6903Mailing LocationMailing Address200 Doctors Dr, Panama City, FL 32405-4559Phone(850) 784-7722Fax(850) 784-6903Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense9427616FloridaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN.CNP.019739Ohio