NPI Code Details Logo

NPI 1366502817

NPI 1366502817 : ROBERT E. FELL PA-C : SEBRING, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1366502817
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ROBERT E. FELL PA-C
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/12/2006
-----------------------------------------------------
    Last Update Date     |    10/28/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7441 US HIGHWAY 27 N 
-----------------------------------------------------
    City                 |    SEBRING
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33870-1030
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    863-382-0385
-----------------------------------------------------
    Fax                  |    863-402-2441
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7441 US HIGHWAY 27 N 
-----------------------------------------------------
    City                 |    SEBRING
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33870-1030
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    863-382-0385
-----------------------------------------------------
    Fax                  |    863-402-2441
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    PA667
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.