Provider Demographics
NPI:1740208503
Name:ROBICSEK, STEVEN A (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:ROBICSEK
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:ANDREW
Other - Last Name:ROBICSEK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 918025
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-8025
Mailing Address - Country:US
Mailing Address - Phone:352-273-6782
Mailing Address - Fax:352-273-9792
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0371
Practice Address - Country:US
Practice Address - Phone:352-273-6782
Practice Address - Fax:352-273-9792
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84006207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H56338Medicare UPIN
FL09195ZMedicare PIN