Individual
ROBERT A. MEVORACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5153 N 9TH AVE, PENSACOLA, FL 32504-8785
(850) 505-4700
Mailing address
25 CROSSROADS DR, SUITE 306, OWINGS MILLS, MD 21117-5421
(443) 738-2872
(443) 738-2713
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
166646
NY
2088P0231X
Pediatric Urology Physician
166646
NY
2088P0231X
Pediatric Urology Physician
Primary
ME128200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01935648
—
NY
05
—
9650016 00
—
MD
Enumeration date
06/05/2006
Last updated
03/17/2018
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