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NPI Code Detail

MEDICARE: DR. ROBERT D SANTROCK M.D.

MEDICARE:  DR. ROBERT D SANTROCK  M.D.
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
1207XX0004XOrthopaedic Foot and Ankle Surgery Physician28473SC
2207XX0004XOrthopaedic Foot and Ankle Surgery Physician20792WV
3207XX0004XOrthopaedic Foot and Ankle Surgery Physician35.08143OH
4207X00000XOrthopaedic Surgery PhysicianME151129FL
5207XX0004XOrthopaedic Foot and Ankle Surgery PhysicianME151129FL

General Provider Information

NPI Number : 1497731780
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT D SANTROCK M.D.
Provider Business Mailing Address
First Line : PO BOX 746647
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6647
Country : US
Telephone Number : 904-202-2092
Fax Number : 904-376-4075
Provider Business Practice Location Address
First Line : 2416 LYNNDALE RD STE 102
Second Line :
City : FERNANDINA BEACH
State : FL
Zip : 32034-5201
Country : US
Telephone Number : 904-202-6686
Fax Number : 904-376-3062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 11/04/2025

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Directions to “ DR. ROBERT D SANTROCK M.D.” Practice Location

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