Provider Demographics
NPI:1598747016
Name:MAMES, ROBERT NEIL (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:NEIL
Last Name:MAMES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6400 NEWBERRY RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-6603
Mailing Address - Country:US
Mailing Address - Phone:352-333-5050
Mailing Address - Fax:352-248-2228
Practice Address - Street 1:6400 NEWBERRY RD
Practice Address - Street 2:SUITE 301
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-6603
Practice Address - Country:US
Practice Address - Phone:352-333-5050
Practice Address - Fax:352-248-2228
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2010-07-08
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Provider Licenses
StateLicense IDTaxonomies
FLME0060348207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL051365200Medicaid
E66373Medicare UPIN
FL051365200Medicaid