Anderson, Robert L.

Anderson, Robert L. is an individual health care provider with primary practice located at 951 N Washington Ave , Titusville FL 32796-2163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Anderson, Robert L. can be contacted via phone (321) 268-6192.

Contact Information

Primary practice address
951 N Washington Ave Titusville FL 32796-2163
Phone: (321) 268-6192
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME0030496 Florida

Profile Details

NPI number 1205886637
LBN Legal business name Anderson, Robert L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Sep 28th, 2015 - about 9 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 1205886637 NPPES
Florida Other P00467227 RR MEDICARE
Florida MEDICAID 043048000 RR MEDICARE
Florida Other 93859 RR MEDICARE
Florida Other 300040318 RR MEDICARE

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