Individual
DR. ROBERT F METNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
422 APPALOOSA RD, TARPON SPRINGS, FL 34688
(727) 455-4108
(727) 669-8417
Mailing address
422 APPALOOSA RD, TARPON SPRINGS, FL 34688-9060
(727) 455-4108
(727) 669-8417
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340259200
—
FL
05
—
390073801
—
FL
01
—
45440
BCBS GROUP ID
FL
01
—
480027518
RAILROAD INDIVIDUAL ID
FL
01
—
650859164
TAX ID
FL
01
—
65246
BCBS INDIVIDUAL ID
FL
01
—
DE7435
RAILROAD GROUP ID
FL
01
—
PO2235
MEDICAL LICENSE
FL
Enumeration date
07/20/2005
Last updated
05/21/2024
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