Individual
ROBERT MATISON CARGILE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 LONGWOOD AVE, ROCKLEDGE, FL 32955-2828
(321) 636-2211
Mailing address
PO BOX 919346, ORLANDO, FL 32891-9346
(727) 896-3134
(770) 666-9331
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2004010700
MO
2085R0202X
Diagnostic Radiology Physician
23847
WV
2085R0202X
Diagnostic Radiology Physician
Primary
ME111795
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14JV4
BCBS
FL
Enumeration date
01/28/2007
Last updated
04/25/2012
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