Healthcare Provider Details

I. General information

NPI: 1013908011
Provider Name (Legal Business Name): ROBERT ERHART M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 07/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1132 KELTON AVE
OCOEE FL
34761-3175
US

IV. Provider business mailing address

235 N WESTMONTE DR
ALTAMONTE SPRINGS FL
32714-3345
US

V. Phone/Fax

Practice location:
  • Phone: 407-381-7360
  • Fax: 407-306-6330
Mailing address:
  • Phone: 407-389-5300
  • Fax: 407-389-5363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME66473
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: