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Individual
ROBERT PENDRAK
Active
Individual
ROBERT PENDRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME85025
FL
208D00000X
General Practice Physician
MD2005-0209
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM009V36
BCBS
NM
05
—
26351232
—
NM
01
—
NVEXF
BCBS
FL
01
—
P00221334
RAILROAD MEDICARE
NM
Enumeration date
04/21/2006
Last updated
10/27/2019
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