Healthcare Provider Details

I. General information

NPI: 1669816138
Provider Name (Legal Business Name): ROBERT FLORIO MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2013
Last Update Date: 04/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8451 SHADE AVE SUITE 210
SARASOTA FL
34243-2878
US

IV. Provider business mailing address

8451 SHADE AVE SUITE 210
SARASOTA FL
34243-2878
US

V. Phone/Fax

Practice location:
  • Phone: 941-355-0496
  • Fax: 941-355-0323
Mailing address:
  • Phone: 941-355-0496
  • Fax: 941-355-0323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberME95791
License Number StateFL

VIII. Authorized Official

Name: DR. ROBERT A FLORIO
Title or Position: PRESIDENT
Credential: MD
Phone: 941-355-0496