Individual
DR. ROBERT FITZGERALD VASSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8201 PETERS RD, SUITE 1000, PLANTATION, FL 33324-3265
(954) 447-9938
(954) 447-9431
Mailing address
8201 PETERS RD, SUITE 1000, PLANTATION, FL 33324-3265
(954) 447-9938
(954) 447-9431
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0075365
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253811302
—
FL
05
—
253811303
—
FL
01
—
42906
BLUECROSSBLUESHIELD#
FL
01
—
K7618
MEDICARE PTAN
FL
Enumeration date
10/25/2006
Last updated
06/26/2015
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