Robeck, Ilene Rae

Robeck, Ilene Rae is an sole proprietor health care provider with primary practice located at 6381 18Th St Ne , Saint Petersburg FL 33702-4703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Robeck, Ilene Rae can be contacted via phone (727) 289-1396.

Contact Information

Primary practice address
6381 18Th St Ne Saint Petersburg FL 33702-4703
Fax: (727) 289-1398
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101033181 Virginia

Profile Details

NPI number 1588663553
LBN Legal business name Robeck, Ilene Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2005
Last updated Mar 26th, 2014 - about 11 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 1588663553 NPPES
Virginia Other 54-1314405 TAXID

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