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Individual
ROBERT B DEEM
Active
Individual
ROBERT B DEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0096771
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-3409
RURAL MEDICARE GROUP #
FL
05
—
276370200
—
FL
01
—
56525
BLUE CROSS BLUE SHIELD
FL
01
—
660037901
RURAL MEDICAID
FL
Enumeration date
06/17/2005
Last updated
04/30/2015
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