Individual
ROBERT S. MATHIAS
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) 265-7906
Mailing address
PO BOX 100296 PROVIDER ENROLLMENT DEPARTMENT, GAINESVILLE, FL 32610-0001
(352) 627-9350
(352) 273-9054
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
036-163497
IL
2080P0210X
Pediatric Nephrology Physician
G54520
CA
2080P0210X
Pediatric Nephrology Physician
Primary
ME96677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002086395
—
NV
05
—
208735407
—
MO
05
—
276312500
—
FL
05
—
806503700
—
ID
05
—
8326829
—
WA
Enumeration date
06/28/2006
Last updated
12/12/2024
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