Robert E Groble Md Pa

LBN: Robert E Groble Md Pa
Robert E Groble Md Pa is an health care organization with primary practice located at 1510 Barrs Street , Jacksonville FL 32204. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Robert E Groble Md Pa can be contacted via phone (904) 384-3354, or through Groble, Robert E via phone (904) 384-3354.

Contact Information

Primary practice address
1510 Barrs Street Jacksonville FL 32204
Phone: (904) 384-3354
Fax: (904) 384-4211
Website:
Map and Directions
Authorized official contact:
Name: Groble, Robert E Doctor of Medicine (MD)
Phone: (904) 384-3354

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH2809 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME0023162 Florida

Profile Details

NPI number 1255483616
LBN Legal business name Robert E Groble Md Pa
DBA Doing business as
Authorized official Groble, Robert E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255483616 NPPES
Florida MEDICAID 0066500200

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