MEDICARE: ROBERT M DEAN

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	207R00000X	Internal Medicine Physician	ME72618	FL

General Provider Information

NPI Number	:	1619053766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT M DEAN

Provider Business Mailing Address
First Line	:	2202 N WEST SHORE BLVD STE 140
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-5759
Country	:	US
Telephone Number	:	813-575-5276
Fax Number	:	813-315-7061

Provider Business Practice Location Address
First Line	:	2202 N WEST SHORE BLVD STE 140
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-5759
Country	:	US
Telephone Number	:	813-575-5276
Fax Number	:	813-315-7061

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

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	07/28/2021

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Directions to “ ROBERT M DEAN ” Practice Location

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