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Individual

DR. ROBERT JOSEPH FEEZOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-5484
(352) 273-5515
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-5484
(352) 273-5515

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME85876
FL
2086S0129X
Vascular Surgery Physician
Primary
ME85876
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000043800
FL
Enumeration date
10/10/2006
Last updated
11/28/2011
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