| Organization Name: | ROBERTA REXROTH PA |
| NPI Number: | 1104203892 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERTA REXROTH (PRESIDENT) |
| Mailing Address: | 9256 Birmingham Ave Weeki Wachee |
| State: | FL US |
| Postal Code: | 346134424 |
| Phone Number: | 3522932833 |
| Fax Number: | 3522932834 |
| NPI Enumeration Date: | 05/01/2015 |
| NPI Last Update Date: | 05/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |