| Robert P. Fedor, D.o.p.a | |
|
1811 Shore Dr S South Pasadena FL 33707-4701 | |
| (727) 391-4100 | |
| (727) 398-2067 |
| Full Name | Robert P. Fedor, D.o.p.a |
|---|---|
| Speciality | Family Medicine |
| Location | 1811 Shore Dr S, South Pasadena, Florida |
| Authorized Official Name and Position | Ehren Carine (DO) |
| Authorized Official Contact | 7273914100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert P. Fedor, D.o.p.a 1811 Shore Dr S South Pasadena FL 33707-4701 Ph: (727) 391-4100 | Robert P. Fedor, D.o.p.a 1811 Shore Dr S South Pasadena FL 33707-4701 Ph: (727) 391-4100 |
| NPI Number | 1073633665 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073633665 | NPI | - | NPPES |
| 14H46 | Other | FL | BCBS ID # DR. BACON |
| 002CM | Other | FL | BCBS GROUP # |
| 3TQES | Other | FL | BCBS ID # DR. CARINE |
| 82398 | Other | FL | BCBS PROVIDER # |
| OS12209 | Other | FL | MEDICAL LICENSE |
| OS10824 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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David A Long Md, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1615 Pasadena Ave S, 250, South Pasadena, FL 33707 Phone: 727-381-7727 Fax: 727-381-8229 | |
Kfm Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1609 Pasadena Ave S Ste 4g, South Pasadena, FL 33707 Phone: 727-323-1090 Fax: 727-323-1010 | |
Shayne N Moyles Do Pl Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1615 Pasadena Ave S, Suite 100, South Pasadena, FL 33707 Phone: 727-504-0044 |