Robert Skidmore JR.
MOHS-Micrographic Surgeon
3700 Nw 83rd St
Gainesville
, Florida 32606-5603
Robert Skidmore JR.
MOHS-Micrographic Surgeon
3700 Nw 83rd St
Gainesville
, Florida 32606-5603
(352) 335-7546
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Robert Skidmore JR.
- Po Box 357730
- Gainesville, FL
- Zip : 32635-7730
- Fax : (352) 335-7546
- Phone : (352) 371-7546
Second Address
- Robert Skidmore JR.
- 3700 Nw 83rd St
- Gainesville, FL
- Zip : 32606-5603
- Fax : (352) 335-7546
- Phone : (352) 371-7546
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | ME59336 | FL |
National Provider Identifier
| NPI | 1245322049 |
|---|---|
| Provider Name | Robert Skidmore JR. |
| First Address | Gainesville, FL 32635-7730 |
| Second Address | Gainesville, FL 32606-5603 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2006 |
| Last Update Date | 24/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| DC1427 | RAILROAD MEDICARE GROUP# (01) | FL |
| G43816 | (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.