Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | ME30891 | FL |
Y | 207RI0200X | Infectious Disease | ME30891 | FL |
NPI | 1093799751 |
---|---|
Provider Name | Dr. Robert Boyd Tober |
First Address | Naples, FL 34104-5321 |
Second Address | Naples, FL 34104-5321 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2005 |
Last Update Date | 09/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
069893800 | (05) | FL |
11106 | BCBS (01) | FL |
D61586 | (02) | |
GX420Z | MEDICARE (01) | FL |