Robert Anderson PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS6082 Issued in FL

Legal business name

ROBERT ANDERSON PLLC

Practice address

778 W Midway Rd
Fort Pierce, FL 34982-4203

Phone

(772) 429-0692

Fax

(772) 429-0592

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Robert V Anderson, D.O.

Title

Owner/Physician

Phone

(772) 429-0692

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932281367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12957",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349792957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 W MIDWAY RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349824203",
            "telephone_number": "772-429-0692",
            "fax_number": "772-429-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT ANDERSON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "772-429-0692",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "80525",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John David Roach Jr.
• Kristi Roach
• Porsha Roache-Robinson
• Elizabeth Robasson
• Dakeisha Roberson
• David McNeely Roberts
• Joseph Kevin Roberts, MSD (RCSWI)
• Pamela Roberts, MD
• Trinity Robinson
• Vanetta Robinson

• Family Medicine Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.