Individual
MR. ROBERT A FASOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2210 61ST ST W, BRADENTON, FL 34209-5527
(941) 792-0611
(941) 792-0086
Mailing address
2210 61ST ST W, BRADENTON, FL 34209-5527
(941) 792-0611
(941) 792-0086
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME0035792
FL
207RP1001X
Pulmonary Disease Physician
Primary
MEOO35792
FL
Other
Enumeration date
10/04/2005
Last updated
02/13/2014
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