Feezor, Robert Joseph

Feezor, Robert Joseph is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Feezor, Robert Joseph can be contacted via phone (352) 273-5484.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Fax: (352) 273-5515
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME85876 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME85876 Florida

Profile Details

NPI number 1104913110
LBN Legal business name Feezor, Robert Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Nov 28th, 2011 - about 13 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 1104913110 NPPES
Florida MEDICAID 000043800

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