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Organization
ROBERT C UDELL DO LLC
Active
Organization
ROBERT C UDELL DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDI LAROCHE (MSO CREDENTIALING COORDINATOR)
(321) 449-4168
Entity
Organization
Contact information
Practice address
1980 N ATLANTIC AVE, SUITE 1010, COCOA BEACH, FL 32931-5213
(321) 868-0360
(321) 799-4968
Mailing address
150 N SYKES CREEK PKWY, # 300, MERRITT ISLAND, FL 32953-3488
(321) 449-4168
(321) 449-4164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS7144
FL
Other
Enumeration date
06/15/2006
Last updated
08/28/2009
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