Provider Demographics
NPI:1790824134
Name:ROBERT H FIER MDPA
Entity Type:Organization
Organization Name:ROBERT H FIER MDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:FIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-286-0007
Mailing Address - Street 1:1441 EAST OCEAN BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-2613
Mailing Address - Country:US
Mailing Address - Phone:772-286-0007
Mailing Address - Fax:772-283-5467
Practice Address - Street 1:1441 EAST OCEAN BOULEVARD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-2613
Practice Address - Country:US
Practice Address - Phone:772-286-0007
Practice Address - Fax:772-283-5467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 3339152W00000X
FLME30598174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL471650OtherCOVENTRY HEALTH PLAN
FL40334Medicare PIN
FLCC9114Medicare PIN