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NPI Code Detail

MEDICARE: AL WILLIAM ROBAINA M.D.

MEDICARE:   AL WILLIAM ROBAINA  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
1207R00000XInternal Medicine PhysicianME67245FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
126340SOTHERFLMEDICARE ID-TYPE UNSPECIFIED
226340OTHERFLMEDICARE ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780657817
Entity Type Code : Individual
Provider Name (Legal Business Name) : AL WILLIAM ROBAINA M.D.
Provider Business Mailing Address
First Line : 5998 N US HIGHWAY 41 STE A
Second Line :
City : APOLLO BEACH
State : FL
Zip : 33572-3133
Country : US
Telephone Number : 813-751-3570
Fax Number : 813-641-9001
Provider Business Practice Location Address
First Line : 5998 N US HIGHWAY 41 STE A
Second Line :
City : APOLLO BEACH
State : FL
Zip : 33572-3133
Country : US
Telephone Number : 813-751-3570
Fax Number : 813-641-9001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 06/24/2020

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Directions to “ AL WILLIAM ROBAINA M.D.” Practice Location

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