IndividualActive
Carolyn Blackwood Roberts
NPI 1386459964 · Family Nurse Practitioner · Fort Lauderdale, FL
Provider details
- NPI number
- 1386459964
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11017091 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone: (954) 542-5723
Approximate (ZIP-level) locationGet directions
Mailing address
6590 Nw 90th Ave
Tamarac, FL 33321-3624
Registry dates
- Enumerated
- 2025-02-11
- Last updated
- 2025-02-11
- Certified
- 2025-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.