Individual
ROBERT L HARRELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 WIDENER TER, WELLINGTON, FL 33414-6427
(561) 358-4282
Mailing address
2211 WIDENER TER, WELLINGTON, FL 33414-6427
(561) 358-4282
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
ME134217
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
13334
NH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME134217
FL
208M00000X
Hospitalist Physician
ME134217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30206170
—
NH
05
—
432337699
—
ME
Enumeration date
07/21/2006
Last updated
09/30/2022
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