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Physician Compare National (NPI:1588058648)

HEALTHCARE PROVIDER: ROBIN BURGER

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1588058648
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3971832817
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20190903000806
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BURGER
Individual professional last name
Provider First Name ROBIN
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2014
Individual professional's medical school graduation year
Primary Specialty PATHOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 4688579311
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 151
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 1300 NW 17TH AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 130
Group Practice or individual's line 2 address
City DELRAY BEACH
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 334452588
Group Practice or individual's zip code (9 digits when available)
Phone Number 5618190857
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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