Provider Demographics
NPI:1548327679
Name:MCCARRON, ROBERT ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANDREW
Last Name:MCCARRON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:505 BEACHLAND BLVD
Mailing Address - Street 2:PMB217 STE 1
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-1710
Mailing Address - Country:US
Mailing Address - Phone:772-569-7999
Mailing Address - Fax:772-569-7799
Practice Address - Street 1:777 37TH ST
Practice Address - Street 2:C-102
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-4873
Practice Address - Country:US
Practice Address - Phone:772-569-7999
Practice Address - Fax:772-569-7799
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FLBM6676413207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL35838AMedicare UPIN