Individual
ROBERT WISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
86 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(407) 649-6876
(407) 872-0544
Mailing address
21624 SULLIVAN RANCH BLVD, MOUNT DORA, FL 32757-7863
(931) 993-1277
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
139864
FL
208000000X
Pediatrics Physician
Primary
139864
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN23581
FL
Other
Enumeration date
06/29/2016
Last updated
05/12/2021
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