Eanett, Robert

Eanett, Robert is an individual health care provider with primary practice located at 1033 N Parkway Frontage Rd , Lakeland FL 33803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Eanett, Robert can be contacted via phone (863) 647-8011.

Contact Information

Primary practice address
1033 N Parkway Frontage Rd Lakeland FL 33803
Phone: (863) 647-8011
Fax: (863) 647-8029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME34349 Florida

Profile Details

NPI number 1518939818
LBN Legal business name Eanett, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Feb 11th, 2010 - about 14 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 1518939818 NPPES
Florida MEDICAID 066791900

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