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ROBERT E GROBLE MD PA NPI 1255483616


NPI Information

NPI: 1255483616
Provider Name: ROBERT E GROBLE MD PA
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1510 BARRS STREET
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 384-3354
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ROBERT E GROBLE MD PA is a mental health counselor in Jacksonville, FL. ROBERT E GROBLE MD PA NPI is 1255483616. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1510 BARRS STREET
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 384-3354
Fax: (904) 384-4211

The provider's authorized official is Robert E Groble .
The authorized official title is Medical Doctor Psychiatrist and has the following contact phone number (904) 384-3354.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthMH2809FLORIDAYes
22084P0800XPsychiatry & NeurologyPsychiatryME0023162FLORIDAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10066500200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.