Provider Demographics
NPI:1891747846
Name:HAMILTON, ROBERT M (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:M
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2699
Mailing Address - Street 2:ATTN: SHMG/HPE
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32513-2699
Mailing Address - Country:US
Mailing Address - Phone:850-278-3000
Mailing Address - Fax:850-475-4781
Practice Address - Street 1:7800 US HIGHWAY 98 W # ER
Practice Address - Street 2:
Practice Address - City:MIRAMAR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32550-7228
Practice Address - Country:US
Practice Address - Phone:850-278-3000
Practice Address - Fax:850-475-4781
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80951207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL51785OtherBCBS FL
FL2604655-00Medicaid
FL51785OtherBCBS FL
FL51785FMedicare PIN
AL059185844OtherBCBS PROVIDER NUMBER
FLC29692Medicare UPIN
AL059185846OtherBCBS PROVIDER NUMBER
FL51785OtherBCBS PROVIDER NUMBER
FL51785GMedicare PIN