Amiel, Robert Keith

Amiel, Robert Keith is an individual health care provider with primary practice located at 36 Ne Eglin Parkway , Ft Walton Beach FL 32548. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Amiel, Robert Keith can be contacted via phone (850) 243-3111.

Contact Information

Primary practice address
36 Ne Eglin Parkway Ft Walton Beach FL 32548
Phone: (850) 243-3111
Fax: (850) 244-8633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC874 Florida

Profile Details

NPI number 1356409221
LBN Legal business name Amiel, Robert Keith
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Oct 11th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356409221 NPPES
Florida Other 19461Z MEDICARE
Florida Other 19461 MEDICARE
Florida MEDICAID 078299300 MEDICARE

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