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NPI Code Detail

MEDICARE: J ROBIN ATWELL,MD PA

MEDICARE: J ROBIN ATWELL,MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology PhysicianME0044212FL

General Provider Information

NPI Number : 1558557470
Entity Type Code : Organization
Provider Name (Legal Business Name) : J ROBIN ATWELL,MD PA
Provider Business Mailing Address
First Line : 1355 37TH ST STE 303
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-7320
Country : US
Telephone Number : 772-569-7680
Fax Number : 772-569-7628
Provider Business Practice Location Address
First Line : 1355 37TH ST STE 303
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-7320
Country : US
Telephone Number : 772-569-7680
Fax Number : 772-569-7628
Authorized Official
Title or Position : BILLING COORDINATOR
Name : DAWN HOLLER
Credential :
Telephone Number : 772-569-7791
Provider Enumeration Date : 09/25/2007
Last Update Date : 09/25/2007

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Directions to “J ROBIN ATWELL,MD PA ” Practice Location

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