MEDICARE: ROBERT ALAM SA-C

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
1	246ZC0007X	Surgical Assistant	23-744	FL

General Provider Information

NPI Number	:	1568230746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ALAM SA-C

Provider Business Mailing Address
First Line	:	117 COCONUT RD
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-4303
Country	:	US
Telephone Number	:	561-716-7755
Fax Number	:

Provider Business Practice Location Address
First Line	:	117 COCONUT RD
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-4303
Country	:	US
Telephone Number	:	561-716-7755
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2023
Last Update Date	:	12/18/2023

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Directions to “ ROBERT ALAM SA-C” Practice Location

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