Healthcare Provider Details

I. General information

NPI: 1841589678
Provider Name (Legal Business Name): ROBERT S MAHLER MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2011
Last Update Date: 04/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 WASHINGTON ST SUITE 304
HOLLYWOOD FL
33021-8256
US

IV. Provider business mailing address

3700 WASHINGTON ST SUITE 304
HOLLYWOOD FL
33021-8256
US

V. Phone/Fax

Practice location:
  • Phone: 954-961-1500
  • Fax: 954-961-7942
Mailing address:
  • Phone: 954-961-1500
  • Fax: 954-961-7942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME98036
License Number StateFL

VIII. Authorized Official

Name: DR. ROBERT SETH MAHLER
Title or Position: PRESIDENT
Credential: MD
Phone: 954-961-1500