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Individual

MR. ROBERT TOWNSEND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CC-P

Contact information

Practice address
1850 W COOPER DR, DELTONA, FL 32725-3623
(407) 228-2320
Mailing address
1850 W COOPER DR, DELTONA, FL 32725-3623
(407) 228-2320

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
P000366989
IL
146L00000X
Paramedic
Primary
PMD536992
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P000366989
ILLINOIS DEPARTMENT OF HEALTH
IL
01
PMD536992
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
01/02/2021
Last updated
01/02/2021
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