Healthcare Provider Details

I. General information

NPI: 1407201510
Provider Name (Legal Business Name): ROBERT KROPP M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2016
Last Update Date: 04/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BEACH DR NE UNIT 1702
SAINT PETERSBURG FL
33701-3969
US

IV. Provider business mailing address

100 BEACH DR NE UNIT 1702
SAINT PETERSBURG FL
33701-3969
US

V. Phone/Fax

Practice location:
  • Phone: 727-644-8389
  • Fax:
Mailing address:
  • Phone: 727-644-8389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberME 46978
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: