Provider Demographics
NPI:1578012316
Name:STRICKLAND-ROBERTS, RONESSA (CMA CAHI PHLEBOTOMIS)
Entity Type:Individual
Prefix:
First Name:RONESSA
Middle Name:
Last Name:STRICKLAND-ROBERTS
Suffix:
Gender:F
Credentials:CMA CAHI PHLEBOTOMIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E 1ST ST
Mailing Address - Street 2:UNIT 428
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32772-7501
Mailing Address - Country:US
Mailing Address - Phone:407-335-3074
Mailing Address - Fax:
Practice Address - Street 1:200 TOWNE CENTER CIR # A4-186
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-7409
Practice Address - Country:US
Practice Address - Phone:407-603-1584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-21
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No305S00000XManaged Care OrganizationsPoint of Service
No172V00000XOther Service ProvidersCommunity Health Worker
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy