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NPI Code Detail

MEDICARE: ROBERT N. BASKIN, MD, P.A.

MEDICARE: ROBERT N. BASKIN, MD, P.A.
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
1207QG0300XGeriatric Medicine (Family Medicine) PhysicianME355305FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710369020
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT N. BASKIN, MD, P.A.
Provider Business Mailing Address
First Line : 2108 N GOLFVIEW DR
Second Line :
City : PLANT CITY
State : FL
Zip : 33566-6768
Country : US
Telephone Number : 813-763-5337
Fax Number :
Provider Business Practice Location Address
First Line : 2108 N GOLFVIEW DR
Second Line :
City : PLANT CITY
State : FL
Zip : 33566-6768
Country : US
Telephone Number : 813-763-5337
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. ROBERT NEWTON BASKIN
Credential : MD
Telephone Number : 813-763-5337
Provider Enumeration Date : 06/23/2015
Last Update Date : 06/23/2015

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