ROBERTA BORNEMANN L M T
NPI 1154608149
Specialist in New Smyrna, FL

Q: What is Roberta Bornemann's NPI number?

The NPI number for Roberta Bornemann is 1154608149. It was assigned to this individual provider in the NPPES registry on November 4, 2011.

Q: What is Roberta Bornemann's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Roberta Bornemann was last updated on November 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 04, 2011

519 MILL RUN DRIVE, NEW SMYRNA, FL 32168(386) 428-5914 Get Directions Write a Review

NPPES record last updated: November 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Roberta Bornemann L M T NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERTA BORNEMANN L M T (NPI 1154608149) is an individual specialist in New Smyrna, Florida, licensed in Florida (MA19781) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1154608149

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameROBERTA BORNEMANNCredential: L M T

Location Address519 MILL RUN DRIVENew Smyrna, FL 32168

Mailing Address519 Mill Run DrNew Smyrna, FL 32168-1929 · (386) 428-5914

Phone(386) 428-5914

Sole ProprietorYes

Enumeration DateNovember 4, 2011

✔ NPI 1154608149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · MA19781

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

519 MILL RUN DRIVE, New Smyrna, FL 32168

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roberta Bornemann's NPI number?

The NPI number for Roberta Bornemann is 1154608149. It was assigned to this individual provider in the NPPES registry on November 4, 2011.

Where is Roberta Bornemann located?

Roberta Bornemann practices at 519 Mill Run Drive, New Smyrna, FL 32168. The listed phone number is (386) 428-5914.

What is Roberta Bornemann's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Roberta Bornemann was last updated on November 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.