Provider Demographics
NPI:1952344871
Name:HAMILTON, ROBERT ACCOM (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ACCOM
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5741 BEE RIDGE RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-5064
Mailing Address - Country:US
Mailing Address - Phone:941-365-5672
Mailing Address - Fax:941-365-5854
Practice Address - Street 1:5741 BEE RIDGE RD
Practice Address - Street 2:SUITE 250
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-5064
Practice Address - Country:US
Practice Address - Phone:941-365-5672
Practice Address - Fax:941-365-5854
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME37642207LP2900X, 208VP0000X
FLME0037642208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14022ZMedicare ID - Type Unspecified
FLD52548Medicare UPIN