Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | ME51710 | FL |
NPI | 1013945658 |
---|---|
Provider Name | Dr. Robert C Lanoff |
First Address | Village Of Palmetto Bay, FL 33157-3837 |
Second Address | Miami, FL 33176-1978 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 20/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
063390900 | (05) | FL |
110044203 | RR MEDICARE (01) | FL |
D20975 | (02) | FL |