Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | OS8077 | FL |
NPI | 1083792006 |
---|---|
Provider Name | Dr. Vera M Robert |
First Address | Naples, FL 34117-4724 |
Second Address | Naples, FL 34116-5243 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020A75570 | (05) | CA |
H01299 | (02) | FL |