Mastrosimone, Robert

Mastrosimone, Robert is an sole proprietor health care provider with primary practice located at 111 Se 23Rd Ave , Boynton Beach FL 33435-7617. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mastrosimone, Robert can be contacted via phone (561) 737-1080.

Contact Information

Primary practice address
111 Se 23Rd Ave Boynton Beach FL 33435-7617
Phone: (561) 737-1080
Fax: (561) 737-1533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0032865 Florida

Profile Details

NPI number 1528005659
LBN Legal business name Mastrosimone, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Jun 30th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528005659 NPPES
Florida MEDICAID 264158500

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