Provider Demographics
NPI:1083680839
Name:NUNEZ, ROBERT A (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:NUNEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 NW FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-1020
Mailing Address - Country:US
Mailing Address - Phone:772-888-1880
Mailing Address - Fax:855-618-2315
Practice Address - Street 1:1400 NW FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-1020
Practice Address - Country:US
Practice Address - Phone:772-888-1880
Practice Address - Fax:855-618-2315
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80368207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010064616OtherRAILROAD MEDICARE PIN
FL35675ZMedicare PIN
FLH19399Medicare UPIN