Individual
TIM DAVID ROBARTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-3585
(321) 494-8777
(321) 434-1775
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME121753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014541200
—
FL
01
—
020042219
RAILROAD MEDICARE
—
01
—
P01739899
FL RR MEDICARE
FL
Enumeration date
06/14/2006
Last updated
06/02/2020
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