MEDICARE: DR. ROBERT K HALL D.P.M.

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	213EP1101X	Primary Podiatric Medicine Podiatrist	PO 845	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	:	1861456543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT K HALL D.P.M.

Provider Business Mailing Address
First Line	:	1211 E BROWARD BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-2129
Country	:	US
Telephone Number	:	954-467-8554
Fax Number	:	954-467-0119

Provider Business Practice Location Address
First Line	:	1211 E BROWARD BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-2129
Country	:	US
Telephone Number	:	954-467-8554
Fax Number	:	954-467-0119

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

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	07/08/2007

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