Organization
ROBERT DIFRONZO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DIFRONZO (M.D./OWNER)
(239) 454-9797
Entity
Organization
Contact information
Practice address
17284 SAN CARLOS BLVD, SUITE105, FORT MYERS BEACH, FL 33931-5328
(239) 454-9797
Mailing address
17284 SAN CARLOS BLVD, SUITE105, FORT MYERS BEACH, FL 33931-5328
(239) 454-9797
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME0057429
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11436
BLUE CROSS & BLUE SHIELD
FL
05
—
266712600
—
FL
01
—
5654013
AETNA
FL
Enumeration date
05/07/2008
Last updated
05/07/2008
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