Robert Ray Dickerson MD

NPI 1679585004 - Anesthesiology - 207L00000X

NPI Details
NPI 1679585004
Gender Male
Enumeration Date 08/13/2006
Last Updated 02/23/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
10080 BALAYE RUN DR
TAMPA FL, 33619-7902, US
Phone (813) 490-6100
Fax (813) 490-6105
Business Location
1033 DR MARTIN LUTHER KING JR ST N
STE. 108
ST PETERSBURG FL, 33701-1547, US
Phone (727) 456-4250
Fax (727) 346-1044
Toxanomy
Taxonomy Code 207L00000X
License State Florida
License Number ME52195
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According to our database, Robert Ray Dickerson MD NPI is 1679585004, taxonomy code is 207L00000X and license number is ME52195, license state is located at Florida. Robert Ray Dickerson MD physically located at 10080 Balaye Run Dr, Tampa FL, 33619-7902. NPI Number Robert Ray Dickerson MD has the Individual type.

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1679585004 NPI number is provided on an as is basis without warranty of any kind. 1679585004 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Ray Dickerson MD are for informational purposes only.