| Robert F Vassall Md Pa | |
|
12555 Orange Dr Ste 117 Davie FL 33330-4304 | |
| (954) 447-9938 | |
| (954) 447-9431 |
| Full Name | Robert F Vassall Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 12555 Orange Dr Ste 117, Davie, Florida |
| Authorized Official Name and Position | Robert Fitzgerald Vassall (PRESIDENT) |
| Authorized Official Contact | 9544479938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert F Vassall Md Pa 15757 Pines Blvd Ste 107 Pembroke Pines FL 33027-1207 Ph: (954) 447-9938 | Robert F Vassall Md Pa 12555 Orange Dr Ste 117 Davie FL 33330-4304 Ph: (954) 447-9938 |
| NPI Number | 1225209083 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225209083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME75365 (Florida) | Primary |
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