Individual
ROBERT FIETSAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 W OAK ST, SUITE 360, KISSIMMEE, FL 34741-4989
(407) 846-0090
(407) 846-0072
Mailing address
6006 49TH ST N, SUITE 310, ST PETERSBURG, FL 33709-2148
(727) 527-9779
(727) 490-5043
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME67888
FL
Other
Enumeration date
01/29/2007
Last updated
07/17/2012
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