Provider Demographics
NPI:1184818288
Name:ROBLES, AARON P SR (MPT, CFMT)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:P
Last Name:ROBLES
Suffix:SR
Gender:M
Credentials:MPT, CFMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2416 MISTY WATER DR W
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-9363
Mailing Address - Country:US
Mailing Address - Phone:904-683-6538
Mailing Address - Fax:
Practice Address - Street 1:2416 MISTY WATER DR W
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-9363
Practice Address - Country:US
Practice Address - Phone:904-683-6538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA65BBCHWMedicare PIN
GAQ00162Medicare UPIN