Olton, Robert

Olton, Robert is an individual health care provider with primary practice located at 12128 Streambed Dr , Riverview FL 33579-9336. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Olton, Robert can be contacted via phone (786) 259-2937.

Contact Information

Primary practice address
12128 Streambed Dr Riverview FL 33579-9336
Phone: (786) 259-2937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9106278 Florida

Profile Details

NPI number 1568749034
LBN Legal business name Olton, Robert
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2011
Last updated Aug 7th, 2014 - about 12 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 1568749034 NPPES
Florida Other PA9106278 LICENSE
Florida MEDICAID 004286000 LICENSE

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