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Individual

ROBERT M. HUBERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1350 S HICKORY ST, DEPT. OF PATHOLOGY, MELBOURNE, FL 32901-3278
(321) 434-7000
(321) 434-5295
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 648-2065

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
ME84422
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME74422
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
220029536
RAILROAD MEDICARE
05
254510100
FL
Enumeration date
11/16/2005
Last updated
12/10/2007
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