Individual
DR. ROBERT S FENNELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER ROAD, GAINESVILLE, FL 32610-0371
(352) 392-4434
(352) 392-7107
Mailing address
PO BOX 100371, GAINESVILLE, FL 32610-0371
(352) 265-0301
(352) 265-0627
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
ME14400
FL
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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