MEDICARE: ROBERT PARE JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	ME0043477	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205865490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT PARE JR. MD

Provider Business Mailing Address
First Line	:	3498 NW FEDERAL HWY
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4441
Country	:	US
Telephone Number	:	772-219-1080
Fax Number	:	772-219-1070

Provider Business Practice Location Address
First Line	:	3498 NW FEDERAL HWY
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4441
Country	:	US
Telephone Number	:	772-219-1080
Fax Number	:	772-219-1070

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	05/10/2013

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Directions to “ ROBERT PARE JR. MD” Practice Location

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