Obenrader, Robert

Obenrader, Robert is an sole proprietor health care provider with primary practice located at 7544 Jacque Rd , Hudson FL 34667-7162. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Obenrader, Robert can be contacted via phone (727) 697-2200.

Contact Information

Primary practice address
7544 Jacque Rd Hudson FL 34667-7162
Phone: (727) 697-2200
Fax: (727) 863-8774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103661 Florida

Profile Details

NPI number 1063461135
LBN Legal business name Obenrader, Robert
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Oct 7th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063461135 NPPES
Florida MEDICAID 293061700

Popular Providers