Organization
ROBERT H FIER MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT H. FIER M.D. (OWNER)
(772) 878-3437
Entity
Organization
Contact information
Practice address
514 SW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-8734
(772) 878-3437
(772) 878-1298
Mailing address
514 SW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-8734
(772) 878-3437
(772) 878-1298
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
POC 3339
FL
174400000X
Specialist
Primary
ME30598
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
471650
COVENTRY HEALTH CARE
FL
01
—
CC9114
RR MEDICARE PTAN
FL
Enumeration date
02/06/2007
Last updated
09/09/2015
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