Individual
ROBERTO FOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5065 S STATE ROAD 7 STE 201, LAKE WORTH, FL 33449-5439
(561) 753-7487
(561) 753-8161
Mailing address
5065 S STATE ROAD 7 STE 201, LAKE WORTH, FL 33449-5439
(561) 753-7487
(561) 753-8161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MFC1715
FL
207RG0100X
Gastroenterology Physician
Primary
ME134227
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011063400
—
FL
01
—
14U55
BC/BS OF FL
FL
Enumeration date
04/10/2014
Last updated
06/15/2023
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