Individual
ROBERT CAMERON SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
964 AJAX ST, JACKSONVILLE, FL 32212
(904) 546-3231
Mailing address
3209 FOX SQUIRREL DR, ORANGE PARK, FL 32073-2246
(814) 504-4316
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2019
Last updated
10/19/2023
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