Fogel, Roberto
Fogel, Roberto is an individual health care provider with primary practice located at 5065 S State Road 7 Ste 201 , Lake Worth FL 33449-5439. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Fogel, Roberto can be contacted via phone (561) 753-7487.Contact Information
Primary practice address
5065 S State Road 7 Ste 201
Lake Worth FL 33449-5439
Phone: (561) 753-7487
Fax: (561) 753-8161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MFC1715 | Florida |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME134227 | Florida |
Profile Details
| NPI number | 1083033765 |
|---|---|
| LBN Legal business name | Fogel, Roberto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2014 |
| Last updated | Jun 15th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083033765 | NPPES |
| Florida | Other | 14U55 | BC/BS OF FL |
| Florida | MEDICAID | 011063400 | BC/BS OF FL |
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