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NPI Code Detail

MEDICARE: DR. ROBERT J KITOS MD

MEDICARE: DR. ROBERT J KITOS MD
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
1207R00000XInternal Medicine PhysicianME35468FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
179511OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760462055
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT J KITOS MD
Provider Business Mailing Address
First Line : 3030 NORTH ROCKY POINT DRIVE WEST
Second Line : SUITE 670
City : TAMPA
State : FL
Zip : 33607-5906
Country : US
Telephone Number : 352-433-2392
Fax Number : 352-433-2898
Provider Business Practice Location Address
First Line : 3030 NORTH ROCKY POINT DRIVE WEST
Second Line : SUITE 670
City : TAMPA
State : FL
Zip : 33607-5906
Country : US
Telephone Number : 352-433-2392
Fax Number : 352-433-2898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 06/03/2016

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