Provider Demographics
NPI:1740586379
Name:TEMKIN, ROBERT L
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:TEMKIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 PLANTATION AVE
Mailing Address - Street 2:
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-2235
Mailing Address - Country:US
Mailing Address - Phone:305-852-5751
Mailing Address - Fax:
Practice Address - Street 1:202 PLANTATION AVE
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2235
Practice Address - Country:US
Practice Address - Phone:305-852-5751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-29
Last Update Date:2011-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS1687207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine