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Individual
ROBERT JEREMY FISHER JR.
Active
Individual
ROBERT JEREMY FISHER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-0002429
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14929800
—
FL
01
—
Y2044
BCBS OF FLORIDA
FL
Enumeration date
10/03/2006
Last updated
08/01/2015
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