Provider Demographics
NPI:1376735431
Name:OROBITG, EDDIE C (DMD)
Entity Type:Individual
Prefix:DR
First Name:EDDIE
Middle Name:C
Last Name:OROBITG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 LEE ST
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-5010
Mailing Address - Country:US
Mailing Address - Phone:352-787-5919
Mailing Address - Fax:352-787-2187
Practice Address - Street 1:602 LEE ST
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-5010
Practice Address - Country:US
Practice Address - Phone:352-787-5919
Practice Address - Fax:352-787-2187
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN143501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice