Individual
ROBERT WALTER O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 NEWBERRY RD, GAINESVILLE, FL 32607-2245
(352) 336-6000
Mailing address
PO BOX 748249, ATLANTA, GA 30374-8249
(352) 336-6000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101241018
VA
207X00000X
Orthopaedic Surgery Physician
047438
CT
207X00000X
Orthopaedic Surgery Physician
40469
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
ME151430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN1748
RAILROAD MEDICARE
AZ
Enumeration date
01/05/2007
Last updated
06/10/2022
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