Individual
DR. ROBERT COLIN MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8840 RANGE RD, NICEVILLE, FL 32578-8729
(850) 882-8370
Mailing address
8840 RANGE RD, NICEVILLE, FL 32578-8729
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0101279252
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101279252
UNRESTRICTED MEDICAL LICENSE NUMBER
VA
Enumeration date
04/11/2022
Last updated
05/18/2024
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