1548329774 NPI number — ROBERT P.FINKELSTEIN,D.O., P.A.

Table of content: (NPI 1548329774)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548329774 NPI number — ROBERT P.FINKELSTEIN,D.O., P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBERT P.FINKELSTEIN,D.O., P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548329774
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/02/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6771 PROFESSIONAL PKWY W
Provider Second Line Business Mailing Address:
STE 203
Provider Business Mailing Address City Name:
SARASOTA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34240-8460
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
941-907-7372
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6771 PROFESSIONAL PKWY W
Provider Second Line Business Practice Location Address:
STE 203
Provider Business Practice Location Address City Name:
SARASOTA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34240-8460
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
941-907-7372
Provider Business Practice Location Address Fax Number:
941-373-6650
Provider Enumeration Date:
12/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FINKELSTEIN
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
P
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
941-907-7372

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X , with the licence number:  OS007565L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207N00000X , with the licence number: OS8569 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1336178953 . This is a "INDIVIDUAL NPI" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 06181 . This is a "BCBS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 3377801 . This is a "AETNA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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