Doctor Name: | ROBERT ULSETH |
NPI Number: | 1043205305 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME0056394 |
Business Practice Address: | 3120 Sw 27th Ave Suite 300 Ocala, FL - 344718958 |
Business Phone Number: | 3522363025 |
Business Fax Number: | 3522363521 |
Mailing Address: | 8 Ocale Way N, SUMMERFIELD |
State: | FL |
Postal Code: | 344914622 |
Phone Number: | 3527500236 |
Fax Number: | 8887703208 |
NPI Enumeration Date: | 09/13/2005 |
NPI Last Update Date: | 11/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME0056394 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |