| Oral Head & Neck Pathology Laboratory | |
|
2131 Westover Reserve Blvd Windermere FL 34786 | |
| (407) 286-2330 | |
| (407) 523-0496 |
| Full Name | Oral Head & Neck Pathology Laboratory |
|---|---|
| Speciality | Dentist |
| Location | 2131 Westover Reserve Blvd, Windermere, Florida |
| Authorized Official Name and Position | Rosa H. Robison (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4072862330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Head & Neck Pathology Laboratory 5036 Dr Phillips Blvd # 315 Orlando FL 32819-3310 Ph: (407) 286-2330 | Oral Head & Neck Pathology Laboratory 2131 Westover Reserve Blvd Windermere FL 34786 Ph: (407) 286-2330 |
| NPI Number | 1558490029 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 07/26/2018 |
| Medicare PECOS PAC ID | 2466517305 |
|---|---|
| Medicare Enrollment ID | O20090210000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558490029 | NPI | - | NPPES |
| Provider Name | Rosa H Robison |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942339478 PECOS PAC ID: 6507816121 Enrollment ID: I20090210000401 |
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