Individual
DR. ROBERT TERRY KIRSCHENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
840 N STATE ROAD 434, STE B, ALTAMONTE SPRINGS, FL 32714-7014
(407) 869-7077
(321) 777-8302
Mailing address
840 N STATE ROAD 434, STE B, ALTAMONTE SPRINGS, FL 32714-7014
(407) 869-7077
(321) 777-8302
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041256200
—
FL
01
—
0955000001
MEDICARE DMERC 2ND LOCAL
FL
01
—
1366448235
MEDICARE DMERC
FL
Enumeration date
06/24/2005
Last updated
03/02/2023
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