Theobald, Robert James

Theobald, Robert James is an individual health care provider with primary practice located at 14547 Bruce B Downs Blvd Suite B, Tampa FL 33613-2709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Theobald, Robert James can be contacted via phone (813) 875-2600.

Contact Information

Primary practice address
14547 Bruce B Downs Blvd Suite B Tampa FL 33613-2709
Phone: (813) 875-2600
Fax: (813) 875-2626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X OS9540 Florida

Profile Details

NPI number 1396778239
LBN Legal business name Theobald, Robert James
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 27th, 2021 - about 3 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 1396778239 NPPES
Florida Other P01095109 RR MEDICARE

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