Provider Demographics
NPI:1568507994
Name:BARTEMUS, ROBERT LEE (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LEE
Last Name:BARTEMUS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1670 E HIGHWAY 50
Mailing Address - Street 2:SUITE E
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-5191
Mailing Address - Country:US
Mailing Address - Phone:352-243-5673
Mailing Address - Fax:352-243-6599
Practice Address - Street 1:1670 E HIGHWAY 50
Practice Address - Street 2:SUITE E
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-5191
Practice Address - Country:US
Practice Address - Phone:352-243-5673
Practice Address - Fax:352-243-6599
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS57802083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL80540Medicare ID - Type Unspecified
FLE33534Medicare UPIN