Provider Demographics
NPI:1104810811
Name:CONTRUCCI, ROBERT B (DO)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:B
Last Name:CONTRUCCI
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:10071 PINES BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6181
Mailing Address - Country:US
Mailing Address - Phone:954-437-5333
Mailing Address - Fax:954-437-6252
Practice Address - Street 1:10071 PINES BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6181
Practice Address - Country:US
Practice Address - Phone:954-437-5333
Practice Address - Fax:954-437-6252
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-08
Last Update Date:2023-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS4786207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology