Elizabeth S. Roberson, M.D., P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME88525 Issued in FL

Legal business name

ELIZABETH S. ROBERSON, M.D., P.A.

Practice address

4641 Gulfstarr Dr
Suite 106
Destin, FL 32541-4793

Phone

(850) 654-0054

NPI assigned

Nov 2, 2007

Last updated

Nov 2, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elizabeth Ann Schoene Roberson, MD

Title

Onwer

Phone

(850) 654-0054

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1184803496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 GULFSTARR DR",
            "address_2": "SUITE 106",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325414793",
            "telephone_number": "850-654-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 GULFSTARR DR",
            "address_2": "SUITE 106",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325414793",
            "telephone_number": "850-654-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH S. ROBERSON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "ELIZABETH ANN",
        "authorized_official_middle_name": "SCHOENE",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "850-654-0054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME88525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Destin, FL
• Providers in Destin, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.