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Individual

ROBERT ALAN SKOTNICKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1400 N US HIGHWAY 441, SUITE 810, THE VILLAGES, FL 32159-8975
(352) 674-8700
(352) 674-8714
Mailing address
1020 LAKE SUMTER LNDG, THE VILLAGES, FL 32162-2699
(352) 674-8820
(352) 674-8919

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
OS004652L
PA
207RC0000X
Cardiovascular Disease Physician
Primary
OS13035
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011376640001
PA
01
060012838
RAILROAD MEDICARE
Enumeration date
05/23/2005
Last updated
08/18/2025
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