Vanderleest, Robert

Vanderleest, Robert is an individual health care provider with primary practice located at 800 E Broward Blvd Suite 507, Fort Lauderdale FL 33301-2008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Vanderleest, Robert can be contacted via phone (954) 763-4331.

Contact Information

Primary practice address
800 E Broward Blvd Suite 507 Fort Lauderdale FL 33301-2008
Phone: (954) 763-4331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G46075 California

Profile Details

NPI number 1639254394
LBN Legal business name Vanderleest, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jan 15th, 2014 - about 10 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 1639254394 NPPES
California MEDICAID 00G460750

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