MEDICARE: MR. ROBERT C. SKASKO JR. PA-C

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	363A00000X	Physician Assistant	MA051095	PA
2	363A00000X	Physician Assistant	PA9113856	FL

General Provider Information

NPI Number	:	1881642072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT C. SKASKO JR. PA-C

Provider Business Mailing Address
First Line	:	100 N ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-4903
Country	:	US
Telephone Number	:	570-271-6144
Fax Number	:	570-271-6578

Provider Business Practice Location Address
First Line	:	2338 IMMOKALEE RD # 561
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-1445
Country	:	US
Telephone Number	:	570-271-6144
Fax Number	:	570-271-6578

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	08/12/2025

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