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
DR. ROBERT ANTHONLY STIPANOV DDS
Gender: MALE
NPI: 1871993576
![]() |
Last Updated: | 2014-08-29 | ||
Certification Date: |
Details
Name | Value | ||||||||
---|---|---|---|---|---|---|---|---|---|
NPI | 1871993576 | ||||||||
Enumeration Date | 2014-08-29 | ||||||||
NPI Type | 1 - Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address |
6060 53RD AVE E
SUITE B
BRADENTON, FL 34203-9719 United States Phone: 941-739-8303 | Fax: View Map ![]() |
||||||||
Primary Practice Address |
6060 53RD AVE E
SUITE B
BRADENTON, FL 34203-9719 United States Phone: 941-739-8303 | Fax: View Map ![]() |
||||||||
Health Information Exchange |
|
||||||||
Other Identifiers |
|
||||||||
Taxonomy |
|