Fox, Robert E.
Fox, Robert E. is an individual health care provider with primary practice located at 1865 Lime St Ste 101 , Fernandina Beach FL 32034-4779. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Fox, Robert E. can be contacted via phone (904) 321-2422.Contact Information
Primary practice address
1865 Lime St Ste 101
Fernandina Beach FL 32034-4779
Phone: (904) 321-2422
Fax: (904) 321-2434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1873 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA1873 | Florida |
Profile Details
| NPI number | 1962431387 |
|---|---|
| LBN Legal business name | Fox, Robert E. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Nov 11th, 2022 - about 4 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 | 1962431387 | NPPES |
| Florida | Other | Y09QZ | BLUE SHIELD OF FLORIDA |
| Florida | MEDICAID | 290022000 | BLUE SHIELD OF FLORIDA |
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