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Individual

DR. ROBERT KEITH AMIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
36 NE EGLIN PARKWAY, FT WALTON BEACH, FL 32548
(850) 243-3111
(850) 244-8633
Mailing address
36 NE EGLIN PARKWAY, FT WALTON BEACH, FL 32548
(850) 243-3111
(850) 244-8633

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC874
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
078299300
FL
01
19461
BCBS
FL
01
19461Z
MEDICARE
FL
Enumeration date
12/04/2006
Last updated
10/11/2010
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