Individual
ROBERT T. BASS JR.
Active
Individual
ROBERT T. BASS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME63940
FL
207RG0100X
Gastroenterology Physician
Primary
ME63940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000553957B
—
GA
05
—
3730948-00
—
FL
Enumeration date
03/04/2006
Last updated
04/15/2010
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