Provider Demographics
NPI:1457346777
Name:FRABLE, ROBERT S (DO)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:S
Last Name:FRABLE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2382 CRAWFORDVILLE HWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:CRAWFORDVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32327-2382
Mailing Address - Country:US
Mailing Address - Phone:850-926-6363
Mailing Address - Fax:850-926-2602
Practice Address - Street 1:2382 CRAWFORDVILLE HWY
Practice Address - Street 2:SUITE C
Practice Address - City:CRAWFORDVILLE
Practice Address - State:FL
Practice Address - Zip Code:32327-1091
Practice Address - Country:US
Practice Address - Phone:850-926-6363
Practice Address - Fax:850-926-2602
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2014-01-28
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Provider Licenses
StateLicense IDTaxonomies
FLOS004640207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL067878300Medicaid
FLDN5565OtherGROUP RR MEDICARE
FLP00339612OtherRR MEDICARE
FLP00683813OtherRR MEDICARE
FL76014YMedicare PIN
FLD27073Medicare UPIN
FL76014WMedicare PIN