Provider Demographics
NPI:1578843702
Name:ROBERT M. LANCASTER, ARNP-BC P.A.
Entity Type:Organization
Organization Name:ROBERT M. LANCASTER, ARNP-BC P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LANCASTER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:904-322-2472
Mailing Address - Street 1:9055 STARPASS DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-5472
Mailing Address - Country:US
Mailing Address - Phone:904-322-2472
Mailing Address - Fax:904-733-4539
Practice Address - Street 1:9055 STARPASS DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-5472
Practice Address - Country:US
Practice Address - Phone:904-322-2472
Practice Address - Fax:904-733-4539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-19
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No282E00000XHospitalsLong Term Care Hospital
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility