Pendrak, Robert

Pendrak, Robert is an individual health care provider with primary practice located at 6500 Crill Ave , Palatka FL 32177-9230. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pendrak, Robert can be contacted via phone (386) 326-0575.

Contact Information

Primary practice address
6500 Crill Ave Palatka FL 32177-9230
Phone: (386) 326-0575
Fax: (386) 326-0571
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD2005-0209 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME85025 Florida

Profile Details

NPI number 1477519361
LBN Legal business name Pendrak, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Oct 27th, 2019 - about 6 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 1477519361 NPPES
Florida Other NVEXF BCBS
Florida Other P00221334 BCBS
Florida Other 00NM009V36 BCBS
Florida MEDICAID 26351232 BCBS

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