Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | ME0032367 | FL |
NPI | 1013018886 |
---|---|
Provider Name | Dr. Robert E. Ashmore JR. |
First Address | Belfast, ME 04915-4482 |
Second Address | Tallahassee, FL 32308-8419 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 11/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
039237500 | (05) | FL |
37272 | BCBS (01) | FL |
E75974 | (02) | FL |