Individual
ROBERT ENNES ALDRICH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12880 COMMODITY PL, C/O UNITED SURGICAL ASSISTANTS, TAMPA, FL 33626-3101
(877) 872-5788
(866) 698-7272
Mailing address
PO BOX 21686, C/O UNITED SURGICAL ASSISTANTS, TAMPA, FL 33622-1686
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9102781
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00224203
RAILROAD MEDICARE
—
Enumeration date
04/06/2006
Last updated
07/11/2007
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