Dr. Robert Cornelius Luten
Pediatrician Emergency Physician Pediatric Emergency Physician
655 W 8th St Ufjp Emergency Medicine
Jacksonville
, Florida 32209-6511
Dr. Robert Cornelius Luten
Pediatrician Emergency Physician Pediatric Emergency Physician
655 W 8th St Ufjp Emergency Medicine
Jacksonville
, Florida 32209-6511
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About
Features
Specialties
- Emergency Physician
- Pediatric Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Robert Cornelius Luten
- Po Box 44008 Ufjp Provider Enrollment
- Jacksonville, FL
- Zip : 32231-4008
- Phone :
Second Address
- Dr. Robert Cornelius Luten
- 655 W 8th St Ufjp Emergency Medicine
- Jacksonville, FL
- Zip : 32209-6511
- Fax : (904) 244-4508
- Phone : (904) 244-7234
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FAQs
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Is Dr. Robert Cornelius Luten a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | ME34114 | FL |
| N | 207PP0204X | Pediatric Emergency Physician | ME34114 | FL |
| N | 208000000X | Pediatrician | ME34114 | FL |
National Provider Identifier
| NPI | 1164493250 |
|---|---|
| Provider Name | Dr. Robert Cornelius Luten |
| First Address | Jacksonville, FL 32231-4008 |
| Second Address | Jacksonville, FL 32209-6511 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/01/2006 |
| Last Update Date | 27/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000218908A | (05) | GA |
| 0399078-00 | (05) | FL |
| 930003868 | RAILROAD MEDICARE (01) | FL |
| D52658 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.