1083635718

Everything you always wanted to know about SIMMONS DUNN ROBERDEAU M.D. but were afraid to ask.

SIMMONS DUNN ROBERDEAU M.D.

You can also download the this 1083635718 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
SIMMONS DUNN ROBERDEAU M.D.
Gender:
Male
Enumeration date:
2006-07-21
Last update date:
2008-03-05
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
15614W Medicare PIN none FL
D85127 Medicare UPIN none FL

Taxonomies

Taxonomy State License Number Primary?
207R00000X Internal Medicine FL ME0035951 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2392750040
Practice Location Address Telephone Number 2392750040
Mailing Address Fax Number 2392757997
Practice Location Address Fax Number 2392757997

Addresses

Type Address City State Postal Country
Mailing Address 6311 S POINTE BLVD FORT MYERS FL 33919 FL
Practice Location Address 6311 S POINTE BLVD FORT MYERS FL 33919 FL

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1164792602 RATHBUN, GAIL
Individual
6311 S. POINTE BLVD. FL FORT MEYERS
1336166115 GESIOTTO, ERNEST
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6311 S POINTE BLVD FL FORT MYERS
1336419878 OSTIEN, BEVERLY
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6311 S. POINTE BLVD. FL FORT MYERS
1396074464 WOLFORD, PHYLLIS
Individual
6311 S. POINTE BLVD FL FORT MYERS
1417970948 HENRICKS, DOUGLAS
Individual
6311 S POINTE BLVD FL FORT MYERS
1497090351 SIMMONS, MICHELLE
Individual
6311 S POINTE BLVD FL FORT MYERS
1700803590 GESIOTTO,HENRICKS,KORDONOWY,AN
Organization
6311 S POINTE BLVD FL FORT MYERS
1851318646 KORDONOWY, RAYMOND
Individual
6311 S POINTE BLVD FL FORT MYERS

Other NPI Records that share an address

NPI Name Address State City
1073915047 INTERNAL MEDICINE, LIPID AND W
Organization
6311 S POINTE BLVD FL FORT MYERS
1336166115 GESIOTTO, ERNEST
Individual
6311 S POINTE BLVD FL FORT MYERS
1417970948 HENRICKS, DOUGLAS
Individual
6311 S POINTE BLVD FL FORT MYERS
1497090351 SIMMONS, MICHELLE
Individual
6311 S POINTE BLVD FL FORT MYERS
1700803590 GESIOTTO,HENRICKS,KORDONOWY,AN
Organization
6311 S POINTE BLVD FL FORT MYERS
1851318646 KORDONOWY, RAYMOND
Individual
6311 S POINTE BLVD FL FORT MYERS