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DR. ROBERT KEITH AMIEL OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1356409221

Individual Registrant:
DR. ROBERT KEITH AMIEL OD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
36 NE EGLIN PARKWAY  FT WALTON BEACH, FL 32548 US
Tel: 850-243-3111  Fax: 850-244-8633

Contact information for business:
36 NE EGLIN PARKWAY  FT WALTON BEACH, FL 32548 US
Tel: 850-243-3111  Fax: 850-244-8633

Registration Information:
NPI: 1356409221
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
FLOPC874

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS19461FL01
MEDICARE19461ZFL01
078299300FL05




HEALTH CARE JOBS FL - Page 1



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