Provider Demographics
NPI:1528047982
Name:HAIN, ROBERT ELLIOT (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ELLIOT
Last Name:HAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10196 BITTERN DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-7208
Mailing Address - Country:US
Mailing Address - Phone:850-452-2157
Mailing Address - Fax:850-452-9342
Practice Address - Street 1:220 HOVEY ROAD
Practice Address - Street 2:MITCHELL CENTER FOR POW STUDIES
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32508-1047
Practice Address - Country:US
Practice Address - Phone:850-452-2157
Practice Address - Fax:850-452-9342
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME798572083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME79857OtherMEDICAL LICENSE
FLME79857OtherMEDICAL LICENSE