Robert F Vassall MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME75365 Issued in FL

Legal business name

ROBERT F VASSALL MD PA

Practice address

12555 Orange Dr Ste 117
Davie, FL 33330-4304

Phone

(954) 447-9938

Fax

(954) 447-9431

NPI assigned

Mar 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Fitzgerald Vassall, MD

Title

President

Phone

(954) 447-9938

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Althea Gravesandy Vassall, LMT

  • Massage Therapist
  • Davie, FL
  • NPI 1013629914
  NPD
• Patricia A. McGill Roberts, MSN, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1487681979
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1225209083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15757 PINES BLVD STE 107",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271207",
            "telephone_number": "954-447-9938",
            "fax_number": "954-447-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 ORANGE DR STE 117",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304304",
            "telephone_number": "954-447-9938",
            "fax_number": "954-447-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F VASSALL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "VASSALL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FITZGERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-447-9938",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME75365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Rivero
• Arasay Rizo
• Zehra Rizvi, DO
• Eric Adam Robbins, M.D.
• Helen Michelle Robbins, PHARMD
• Arthrine Roberts, DMFT
• Brian Daniel Roberts, OD
• M. Elizabeth Roberts, PHD, CCC-SLP
• Mikeala Roberts
• Terrance Andra Roberts

• Psychiatry Physician in Davie, FL
• Providers in Davie, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.