MEDICARE: ROBERT H PAXSON 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
1	207R00000X	Internal Medicine Physician	66559	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1831163476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT H PAXSON M.D.

Provider Business Mailing Address
First Line	:	5505 N ATLANTIC AVE
Second Line	:	SUITE 203
City	:	COCOA BEACH
State	:	FL
Zip	:	32931-5111
Country	:	US
Telephone Number	:	321-613-0501
Fax Number	:	321-613-0502

Provider Business Practice Location Address
First Line	:	5505 N ATLANTIC AVE
Second Line	:	SUITE 203
City	:	COCOA BEACH
State	:	FL
Zip	:	32931-5111
Country	:	US
Telephone Number	:	321-613-0501
Fax Number	:	321-613-0502

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

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	09/09/2015

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