Individual
ROBERT C NUSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 416-6020
Mailing address
PO BOX 3186, INDIANAPOLIS, IN 46206-3186
(855) 893-8445
(855) 241-8056
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0083292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009988340
ALABAMA EDS MEDICAID
AL
01
—
13817
BCBS
FL
05
—
264305700
—
FL
01
—
300132614
RR MEDICARE
FL
01
—
59417
BCBS OF ALABAMA
AL
Enumeration date
04/21/2006
Last updated
10/18/2017
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