Provider Demographics
NPI:1710940168
Name:BISCUP, ROBERT S (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:BISCUP
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5601 N DIXIE HWY
Mailing Address - Street 2:SUITE 422
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-4148
Mailing Address - Country:US
Mailing Address - Phone:954-355-4088
Mailing Address - Fax:954-355-4089
Practice Address - Street 1:5601 N DIXIE HWY
Practice Address - Street 2:SUITE 422
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-4148
Practice Address - Country:US
Practice Address - Phone:954-355-4088
Practice Address - Fax:954-355-4089
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0008812207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA16042Medicare UPIN
62679AMedicare PIN