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NPI Code Detail

MEDICARE: DR. ROBIN MARIE FLICKER DMD

MEDICARE: DR. ROBIN MARIE FLICKER DMD
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
11223P0221XPediatric DentistryDN18802FL

Other Identifiers

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

General Provider Information

NPI Number : 1952531691
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBIN MARIE FLICKER DMD
Provider Business Mailing Address
First Line : 13110 ELK MOUNTAIN DR
Second Line :
City : RIVERVIEW
State : FL
Zip : 33579-7182
Country : US
Telephone Number : 813-349-7593
Fax Number : 813-771-2631
Provider Business Practice Location Address
First Line : 313 S LAKEWOOD DR
Second Line :
City : BRANDON
State : FL
Zip : 33511-2815
Country : US
Telephone Number : 813-349-7600
Fax Number : 813-349-7661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2009
Last Update Date : 03/13/2025

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