Victome, Robert Gary
Victome, Robert Gary is an sole proprietor health care provider with primary practice located at 6137 Lake Worth Rd , Greenacres FL 33463-3074. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Victome, Robert Gary can be contacted via phone (561) 357-1009.Contact Information
Primary practice address
6137 Lake Worth Rd
Greenacres FL 33463-3074
Phone: (561) 357-1009
Fax: (561) 969-7624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN13708 | Florida |
Profile Details
| NPI number | 1437238516 |
|---|---|
| LBN Legal business name | Victome, Robert Gary |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Oct 13th, 2016 - about 10 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 | 1437238516 | NPPES |
| Florida | Other | 650670857 | TAX ID |
| Florida | MEDICAID | 076810300 | TAX ID |
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