Hall, Robert K

Hall, Robert K is an sole proprietor health care provider with primary practice located at 1211 E Broward Blvd , Ft Lauderdale FL 33301-2129. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Hall, Robert K can be contacted via phone (954) 467-8554.

Contact Information

Primary practice address
1211 E Broward Blvd Ft Lauderdale FL 33301-2129
Fax: (954) 467-0119
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO 845 Florida

Profile Details

NPI number 1861456543
LBN Legal business name Hall, Robert K
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1861456543 NPPES
Florida MEDICAID 041150700

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