Provider Demographics
NPI:1336425065
Name:ROBERT A MCCARRON M.D.P.A
Entity Type:Organization
Organization Name:ROBERT A MCCARRON M.D.P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:MCCARRON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-569-7999
Mailing Address - Street 1:505 BEACHLAND BLVD
Mailing Address - Street 2:PMB217
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-1710
Mailing Address - Country:US
Mailing Address - Phone:772-569-7999
Mailing Address - Fax:772-569-7799
Practice Address - Street 1:505 BEACHLAND BLVD
Practice Address - Street 2:PMB217
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32963-1710
Practice Address - Country:US
Practice Address - Phone:772-569-7999
Practice Address - Fax:772-569-7799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80972261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL35838AMedicare PIN