Individual
DR. ROBERT STEPHAN ENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3455 STALLION LN, WESTON, FL 33331-3035
(305) 542-4768
(954) 349-4452
Mailing address
3455 STALLION LN, WESTON, FL 33331-3035
(305) 542-4768
(954) 349-4452
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME 20284
FL
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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