Individual
DR. ROBERT JAMES THEOBALD III
Active
Individual
DR. ROBERT JAMES THEOBALD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
OS9540
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01095109
RR MEDICARE
FL
Enumeration date
07/07/2006
Last updated
08/27/2021
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