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NPI Code Detail

MEDICARE: DR. ROBERT JORDAN APPLEBAUM M.D.

MEDICARE: DR. ROBERT JORDAN APPLEBAUM M.D.
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
1207W00000XOphthalmology PhysicianME116761FL
2207WX0200XOphthalmic Plastic and Reconstructive Surgery PhysicianME116761FL

General Provider Information

NPI Number : 1700175304
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT JORDAN APPLEBAUM M.D.
Provider Business Mailing Address
First Line : 403 VONDERBURG DR
Second Line :
City : BRANDON
State : FL
Zip : 33511-5501
Country : US
Telephone Number : 813-681-1122
Fax Number :
Provider Business Practice Location Address
First Line : 403 VONDERBURG DR
Second Line :
City : BRANDON
State : FL
Zip : 33511-5982
Country : US
Telephone Number : 813-681-1122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2011
Last Update Date : 03/24/2026

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