MEDICARE: ROBERT EUGENE DOYLE LCSW

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	1041C0700X	Clinical Social Worker	0004363	FL

General Provider Information

NPI Number	:	1265507396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT EUGENE DOYLE LCSW

Provider Business Mailing Address
First Line	:	8006 SUTTON TERRACE LN
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1387
Country	:	US
Telephone Number	:	813-751-7230
Fax Number	:	813-888-4983

Provider Business Practice Location Address
First Line	:	2835 W DE LEON ST
Second Line	:	STE 206
City	:	TAMPA
State	:	FL
Zip	:	33609-4130
Country	:	US
Telephone Number	:	813-751-7230
Fax Number	:	813-888-4983

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

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	06/02/2017

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