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Provider Information for 1003887621

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ROBERT H BEVIS MD

Gender: MALE

Individual NPI: 1003887621

Calendar   Last Updated:  2020-09-23
  Certification Date:  2020-09-23

Details

Name Value
NPI 1003887621
Enumeration Date 2006-01-31
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805-3065
United States

Phone: 863-680-7000 | Fax: 866-264-8519
View Map External Link
Primary Practice Address 1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
United States

Phone: 863-680-7190 | Fax: 866-264-8519
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Direct Messaging Address rbevis5216@direct.watsonclinicad.com Direct Messaging Address Watson Clinic LLP 1430 LAKELAND HILLS BLVD
LAKELAND, FL 33805-3202
United States
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207R00000X - Internal Medicine FL ME41810