Provider Demographics
NPI:1336178953
Name:FINKELSTEIN, ROBERT P (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:P
Last Name:FINKELSTEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6771 PROFESSIONAL PKWY W
Mailing Address - Street 2:STE 202
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34240-8460
Mailing Address - Country:US
Mailing Address - Phone:941-907-7372
Mailing Address - Fax:941-373-6650
Practice Address - Street 1:6771 PROFESSIONAL PKWY W STE 203
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-8460
Practice Address - Country:US
Practice Address - Phone:941-907-7372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2017-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8569207N00000X
PAOS007565L207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1548329774OtherGROUP NPI
FL06181OtherBLUE CROSS BLUE SHEILD
FL3377801OtherAETNA PROVIDER NO.
FLF43931Medicare UPIN
FL1548329774OtherGROUP NPI