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Individual

ROBERT A MIDENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3700 EMERGENCY LN, SEBRING, FL 33870-5536
(863) 386-4302
(863) 382-3928
Mailing address
3425 S HIGHLANDS AVE, SEBRING, FL 33870-5408
(863) 471-9000
(863) 382-2300

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME60055
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12584
BCBS
FL
05
277365100
FL
01
P00446213
RAILROAD MEDICARE
FL
Enumeration date
07/18/2006
Last updated
02/10/2022
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