Provider Demographics
NPI:1447074687
Name:TUMMONS, ROBERT AARON (BA, MA, ADN, RN)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:AARON
Last Name:TUMMONS
Suffix:
Gender:M
Credentials:BA, MA, ADN, RN
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Mailing Address - Street 1:400 HEALTH PARK BLVD
Mailing Address - Street 2:3RD FLOOR MEDICAL ICU - C/O ROBERT TUMMONS
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-5784
Mailing Address - Country:US
Mailing Address - Phone:904-819-4330
Mailing Address - Fax:
Practice Address - Street 1:400 HEALTH PARK BLVD
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-5784
Practice Address - Country:US
Practice Address - Phone:904-819-4330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLRN9482398163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine