Provider Demographics
NPI:1275561250
Name:KIRSTEIN, ROBERT HARVEY (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:HARVEY
Last Name:KIRSTEIN
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 1:9195 SUNSET DR STE 210
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3488
Mailing Address - Country:US
Mailing Address - Phone:305-271-9065
Mailing Address - Fax:305-274-1470
Practice Address - Street 1:9195 SUNSET DR STE 210
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3488
Practice Address - Country:US
Practice Address - Phone:305-271-9065
Practice Address - Fax:305-274-1470
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27718207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL037496200Medicaid
FL92966Medicare ID - Type Unspecified