Provider Demographics
NPI:1508183849
Name:ROBERT H JOHR, MD PA
Entity Type:Organization
Organization Name:ROBERT H JOHR, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:JOHR
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:561-368-4545
Mailing Address - Street 1:1050 NW 15TH ST
Mailing Address - Street 2:SUITE 201A
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-1375
Mailing Address - Country:US
Mailing Address - Phone:561-368-4545
Mailing Address - Fax:561-368-4041
Practice Address - Street 1:1050 NW 15TH ST
Practice Address - Street 2:SUITE 201A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-1375
Practice Address - Country:US
Practice Address - Phone:561-368-4545
Practice Address - Fax:561-368-4041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathologyGroup - Single Specialty