Dr. Robert S Fennell III
Pediatric Nephrologist
1600 Sw Archer Road
Gainesville
, Florida 32610-0371
Dr. Robert S Fennell III
Pediatric Nephrologist
1600 Sw Archer Road
Gainesville
, Florida 32610-0371
(352) 265-0627
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About
Features
Specialties
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Robert S Fennell III
- Po Box 100371
- Gainesville, FL
- Zip : 32610-0371
- Fax : (352) 265-0627
- Phone : (352) 265-0301
Second Address
- Dr. Robert S Fennell III
- 1600 Sw Archer Road
- Gainesville, FL
- Zip : 32610-0371
- Fax : (352) 392-7107
- Phone : (352) 392-4434
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0210X | Pediatric Nephrologist | ME14400 | FL |
National Provider Identifier
| NPI | 1679594386 |
|---|---|
| Provider Name | Dr. Robert S Fennell III |
| First Address | Gainesville, FL 32610-0371 |
| Second Address | Gainesville, FL 32610-0371 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D50271 | (02) |
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.