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Dr. Robert S. Fishel, MD

(Dr. Robert Fishel, MD)

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Specializes in: Cardiac Electrophysiology (Heart Rhythm)

New York University (NYU) School of Medicine

Professional interests include: ambulatory event monitoring (AEM), resuscitation, ambulatory cardiac monitoring, and more.

180 Jfk Drive Suite 311
Atlantis, FL 33462

(561) 434-0353

Dr. Robert S. Fishel, MD is a cardiac electrophysiologist in Atlantis, FL specializing in cardiac electrophysiology (heart rhythm). He graduated from New York University (NYU) School of Medicine. Dr. Robert S. Fishel, MD is affiliated with HCA Florida Healthcare, Jupiter Medical Center, FLORIDA ELECTROPHYSIOLOGY ASSOCIATES PA and HCA Florida JFK Hospital.

Office Locations

HCA Florida JFK Hospital

180 Jfk Drive Suite 311
Atlantis, FL 33462

(561) 434-0353

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Some issues Dr. Robert S. Fishel, MD can help you with:

Cardiac Catheterization

Cardiac catheterization is a procedure done to check on the health of the heart. A tiny, flexible tube called a catheter is inserted into a blood vessel through a very small opening, usually in the groin, and threaded through the blood vessel up to the heart. Once the catheter is in place, it can diagnose problems in the heart and perform certain corrective procedures.

A coronary catheter can be used to:

Take blood samples
Inject dye for an angiogram
Check for valve defects
Measure oxygen and pressure levels within the heart chambers
Take a biopsy
Perform a percutaneous coronary intervention, or procedure to clear blocked arteries
Widen narrowed valve openings

Because all of this can be accomplished without the need for open surgery, cardiac catheterization has become a popular option.

Heart Attack

A heart attack is a serious medical event that happens when the blood supplying oxygen to the heart is cut off, usually because of a blockage in an artery. This results in damage or death of part of the heart muscle. The heart can heal, but like any part of the body that was injured it leaves a scar. This scar tissue does not contract effectively, so the ability of the heart to pump is lowered after a heart attack.

A heart attack, sometimes called a myocardial infarction, can happen without warning. However there are certain factors that raise the risk of heart attack. Some of these are:

Age
Gender (most heart attack sufferers are male)
A family history of heart attacks
Smoking
Obesity
High cholesterol
High blood pressure
Diabetes
Unhealthy lifestyle choices (lack of exercise, poor diet, too much alcohol or stress)

Heart attacks typically feel like pain or pressure in the chest that can radiate out to the back, arm, or jaw. Some other symptoms can include fatigue or weakness, shortness of breath, sweating, and nausea.

Treatment aims to increase blood flow to the heart muscle by opening up blocked blood vessels. Medications are sometimes used to dissolve clots in the arteries. Aspirin and other medications such as Plavix can thin the blood and make clots less likely to form. Dilators can widen blood vessels to make room for more blood to flow. Doctors can also use a procedure called catheterization to look at the blood vessels around the heart directly, place stents, or widen vessels using angioplasty. In extreme cases bypass surgery can be used to help blood flow better. After recovery, it is important to lead a healthy lifestyle and take any prescribed medications in order to protect the heart.

Heart Problems

The heart is one of the most important organs in the body. This smooth muscle expands and contracts rhythmically an entire lifetime, pumping blood to the lungs and then to every other cell in the body. When heart problems occur, it becomes difficult for the body to get the nutrients and oxygen it needs via the blood. So while there are a variety of illnesses and disorders that affect the heart, most of them cause weakness, exhaustion and shortness of breath. The most common heart conditions include heart disease, angina, arrhythmia, and valve disorders.

Heart disease is the leading cause of death in the United States for both men and women. This includes coronary artery disease, heart attacks, congestive heart failure, and congenital heart disease. Some conditions, such as genetics, cannot be controlled. But there are many other things one can do to lower their risk for heart disease. Controlling high blood pressure and cholesterol levels, reducing or stopping smoking, exercising more and losing weight if needed, and eating a diet low in sodium can all protect the heart.

Angina is a squeezing type of chest pain that happens when the muscles around the heart don't get enough oxygen. It can be regular or infrequent. Usually, angina is caused by coronary heart disease. However, not all chest pain is angina. Chest pain can also be caused by a lung infection or panic attack, for example, so it is important to have any sudden pain checked.

Arrhythmia is the word for when the heart beats too fast, too slow, or irregularly with skipped beats. It can feel frightening, and depending on the type it can be dangerous, but in most cases arrhythmia is not serious and can be treated. It is very common, especially in older adults.

Heart valve problems can happen in any one of the the heart's four valves that keep blood flowing where it needs to go. Babies can be born with problems in their heart valves, or valves can be damaged by infections. The valves can stiffen and become less mobile, or they can stop closing properly and 'leak' when the heart beats. Valve problems can usually be repaired surgically.

In The News

“"COVID infections cause myocarditis, which is inflammation of the heart muscle," said Dr. Robert S. Fishel, a Florida-based board-certified cardiologist and electrophysiologist.”—"12 Sneaky Causes Of Heart Palpitations That Aren't Stress Or Caffeine", Huff Post, February 2023

“Dr. Robert Fishel, director of electrophysiology at JFK Medical Center, is the event co-chairman.”—"DOCTORS KEEP HEART AFFAIR IN ORDER", South Florida Sun-Sentinel, June 2000

Noteworthy Medicare Patient Procedures Performed by Dr. Robert S. Fishel, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

transesophageal echocardiography

In 2023, Dr. Robert S. Fishel, MD performed more transesophageal echocardiography (TEE) procedures for Medicare patients than 95% of providers in related specialties within Florida.

Top 10%

By Volume:

cardiac catheter ablation

electrophysiological study and catheter ablation

minimally invasive procedures

pulmonary vein isolation

In 2023, Dr. Robert S. Fishel, MD performed more cardiac catheter ablation, electrophysiological study and catheter ablation, minimally invasive procedures, and pulmonary vein isolation (PVI) procedures for Medicare patients than 90% of providers in related specialties within Florida.

Top 25%

By Volume:

ablation

cardioversion

elective external cardioversion

In 2012, Dr. Robert S. Fishel, MD performed more ablation, cardioversion, and elective external cardioversion procedures for Medicare patients than 75% of providers in related specialties within Florida.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Robert S. Fishel, MD treated as a cardiac electrophysiologist in Atlantis, FL during 2012 were cardiac procedures, minimally invasive procedures, diagnostic procedures and catheterization.

Volume of procedures performed by Dr. Robert S. Fishel, MD for Medicare patients.

ablation	185
cardiac procedures	574
cardioversion	34
catheterization	185
diagnostic procedures	202
doctor visit	739
hospital care	152
implant surgery	14
implantable cardioverter-defibrillator (ICD) replacement	14
inpatient care	152
minimally invasive procedures	557
ultrasound (sonogram)	173

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Robert S. Fishel, MD treated as a cardiac electrophysiologist in Atlantis, FL during 2013 were minimally invasive procedures, cardiac procedures, catheterization and ablation.

Volume of procedures performed by Dr. Robert S. Fishel, MD for Medicare patients.

ablation	194
cardiac procedures	368
cardioversion	34
catheterization	194
diagnostic procedures	194
doctor visit	714
hospital care	158
inpatient care	158
minimally invasive procedures	562
ultrasound (sonogram)	174

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert S. Fishel, MD.

**Gender**
Male	320
Female	180

**Ethnicity**
Non-Hispanic White	471
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	242
From 75 to 84	182
85 and over	49
Less than 65	27

Conditions of Medicare patients treated by Dr. Robert S. Fishel, MD in 2013

Hypertension	75
High Cholesterol	75
Stroke	4
Ischemic Heart Disease	73
Depression	14
Chronic Kidney Disease	24
Asthma	7
Osteoperosis	7
Atrial Fibrilation	75
Heart Failure	36
Chronic Obstructive Pulmonary Disease	15
Diabetes	37
Dementia	8
Cancer	11

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Robert S. Fishel, MD treated as a cardiac electrophysiologist in Atlantis, FL during 2014 were minimally invasive procedures, cardiac procedures, catheterization and ablation.

Volume of procedures performed by Dr. Robert S. Fishel, MD for Medicare patients.

ablation	190
cardiac procedures	379
cardioversion	48
catheterization	190
diagnostic procedures	190
doctor visit	761
hospital care	67
inpatient care	67
minimally invasive procedures	569
ultrasound (sonogram)	189

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert S. Fishel, MD.

**Gender**
Male	312
Female	177

**Ethnicity**
Non-Hispanic White	457
Black	0
Hispanic	13
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	225
From 75 to 84	199
85 and over	43
Less than 65	22

Conditions of Medicare patients treated by Dr. Robert S. Fishel, MD in 2014

Hypertension	75
High Cholesterol	75
Stroke	6
Ischemic Heart Disease	71
Depression	15
Chronic Kidney Disease	27
Asthma	8
Osteoperosis	7
Atrial Fibrilation	75
Heart Failure	37
Chronic Obstructive Pulmonary Disease	17
Diabetes	33
Dementia	4
Cancer	13

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Robert S. Fishel, MD treated as a cardiac electrophysiologist in Atlantis, FL during 2015 were minimally invasive procedures, cardiac procedures, ultrasound (sonogram) and catheterization.

Volume of procedures performed by Dr. Robert S. Fishel, MD for Medicare patients.

ablation	192
cardiac procedures	385
cardioversion	32
catheterization	192
diagnostic procedures	192
doctor visit	825
hospital care	79
inpatient care	79
minimally invasive procedures	577
ultrasound (sonogram)	193

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert S. Fishel, MD.

**Gender**
Male	698
Female	352

**Ethnicity**
Non-Hispanic White	994
Black	0
Hispanic	0
Asian	0
Other	22
Native American	0

**Age**
From 65 to 74	462
From 75 to 84	446
85 and over	106
Less than 65	36

Conditions of Medicare patients treated by Dr. Robert S. Fishel, MD in 2015

Hypertension	75
High Cholesterol	75
Stroke	6
Ischemic Heart Disease	74
Depression	16
Chronic Kidney Disease	28
Asthma	13
Osteoperosis	7
Atrial Fibrilation	75
Heart Failure	40
Chronic Obstructive Pulmonary Disease	19
Diabetes	32
Dementia	9
Cancer	14

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Robert S. Fishel, MD treated as a cardiac electrophysiologist in Atlantis, FL during 2016 were minimally invasive procedures, cardiac procedures, diagnostic procedures and catheterization.

Volume of procedures performed by Dr. Robert S. Fishel, MD for Medicare patients.

ablation	142
cardiac procedures	292
cardioversion	26
catheterization	142
diagnostic procedures	153
doctor visit	775
hospital care	92
inpatient care	92
minimally invasive procedures	423
ultrasound (sonogram)	139

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert S. Fishel, MD.

**Gender**
Male	300
Female	178

**Ethnicity**
Non-Hispanic White	440
Black	0
Hispanic	12
Asian	0
Other	15
Native American	0

**Age**
From 65 to 74	233
From 75 to 84	193
85 and over	33
Less than 65	19

Conditions of Medicare patients treated by Dr. Robert S. Fishel, MD in 2016

Hypertension	75
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	67
Depression	19
Chronic Kidney Disease	31
Asthma	18
Osteoperosis	7
Atrial Fibrilation	75
Heart Failure	37
Chronic Obstructive Pulmonary Disease	18
Diabetes	31
Dementia	7
Cancer	13

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Robert S. Fishel, MD treated as a cardiac electrophysiologist in Atlantis, FL during 2017 were minimally invasive procedures, cardiac procedures, ultrasound (sonogram) and catheterization.

Volume of procedures performed by Dr. Robert S. Fishel, MD for Medicare patients.

ablation	184
cardiac procedures	381
cardioversion	41
catheterization	184
diagnostic procedures	184
doctor visit	871
hospital care	134
inpatient care	117
minimally invasive procedures	565
outpatient care	17
ultrasound (sonogram)	197

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert S. Fishel, MD.

**Gender**
Male	328
Female	165

**Ethnicity**
Non-Hispanic White	454
Black	0
Hispanic	0
Asian	0
Other	17
Native American	0

**Age**
From 65 to 74	209
From 75 to 84	212
85 and over	53
Less than 65	19

Conditions of Medicare patients treated by Dr. Robert S. Fishel, MD in 2017

Hypertension	75
High Cholesterol	75
Stroke	7
Ischemic Heart Disease	63
Depression	17
Chronic Kidney Disease	33
Asthma	7
Osteoperosis	8
Atrial Fibrilation	75
Heart Failure	36
Chronic Obstructive Pulmonary Disease	16
Diabetes	34
Dementia	8
Cancer	14

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Robert S. Fishel, MD treated as a cardiac electrophysiologist in Atlantis, FL during 2018 were minimally invasive procedures, cardiac procedures, ultrasound (sonogram) and catheterization.

Volume of procedures performed by Dr. Robert S. Fishel, MD for Medicare patients.

ablation	167
cardiac procedures	354
cardioversion	45
catheterization	167
diagnostic procedures	167
doctor visit	934
hospital care	166
inpatient care	117
minimally invasive procedures	521
outpatient care	49
ultrasound (sonogram)	187

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert S. Fishel, MD.

**Gender**
Male	348
Female	202

**Ethnicity**
Non-Hispanic White	508
Black	12
Hispanic	0
Asian	0
Other	19
Native American	0

**Age**
From 65 to 74	239
From 75 to 84	228
85 and over	63
Less than 65	20

Conditions of Medicare patients treated by Dr. Robert S. Fishel, MD in 2018

Hypertension	75
High Cholesterol	75
Stroke	9
Ischemic Heart Disease	67
Depression	17
Chronic Kidney Disease	31
Asthma	8
Osteoperosis	8
Atrial Fibrilation	75
Heart Failure	37
Chronic Obstructive Pulmonary Disease	19
Diabetes	31
Dementia	6
Cancer	14

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Robert S. Fishel, MD treated as a cardiac electrophysiologist in Atlantis, FL during 2019 were minimally invasive procedures, cardiac procedures, ultrasound (sonogram) and diagnostic procedures.

Volume of procedures performed by Dr. Robert S. Fishel, MD for Medicare patients.

ablation	163
ambulatory monitoring	12
cardiac procedures	385
cardioversion	47
catheterization	163
diagnostic procedures	174
doctor visit	1000
hospital care	148
implant surgery	12
inpatient care	107
minimally invasive procedures	525
outpatient care	41
ultrasound (sonogram)	187

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert S. Fishel, MD.

**Gender**
Male	382
Female	232

**Ethnicity**
Non-Hispanic White	572
Black	0
Hispanic	0
Asian	0
Other	24
Native American	0

**Age**
From 65 to 74	244
From 75 to 84	292
85 and over	63
Less than 65	15

Conditions of Medicare patients treated by Dr. Robert S. Fishel, MD in 2019

Hypertension	75
High Cholesterol	75
Stroke	9
Ischemic Heart Disease	71
Depression	18
Chronic Kidney Disease	35
Asthma	6
Osteoperosis	7
Atrial Fibrilation	75
Heart Failure	38
Chronic Obstructive Pulmonary Disease	17
Diabetes	29
Dementia	7
Cancer	15

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Robert S. Fishel, MD treated as a cardiac electrophysiologist in Atlantis, FL during 2020 were minimally invasive procedures, cardiac procedures, ultrasound (sonogram) and catheterization.

Volume of procedures performed by Dr. Robert S. Fishel, MD for Medicare patients.

ablation	174
cardiac procedures	405
cardioversion	35
catheterization	174
diagnostic procedures	174
doctor visit	972
hospital care	138
implant surgery	12
inpatient care	89
minimally invasive procedures	579
outpatient care	49
ultrasound (sonogram)	219

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert S. Fishel, MD.

**Gender**
Male	365
Female	222

**Ethnicity**
Non-Hispanic White	537
Black	0
Hispanic	0
Asian	0
Other	33
Native American	0

**Age**
From 65 to 74	238
From 75 to 84	271
85 and over	66
Less than 65	12

Conditions of Medicare patients treated by Dr. Robert S. Fishel, MD in 2020

Hypertension	75
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	69
Depression	19
Chronic Kidney Disease	33
Asthma	8
Osteoperosis	7
Atrial Fibrilation	75
Heart Failure	36
Chronic Obstructive Pulmonary Disease	16
Diabetes	27
Dementia	6
Cancer	13

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Robert S. Fishel, MD treated as a cardiac electrophysiologist in Atlantis, FL during 2021 were minimally invasive procedures, cardiac procedures, ultrasound (sonogram) and catheterization.

Volume of procedures performed by Dr. Robert S. Fishel, MD for Medicare patients.

ablation	165
cardiac procedures	372
cardioversion	37
catheterization	165
diagnostic procedures	165
doctor visit	997
hospital care	82
inpatient care	48
minimally invasive procedures	537
outpatient care	34
ultrasound (sonogram)	207

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert S. Fishel, MD.

**Gender**
Male	408
Female	209

**Ethnicity**
Non-Hispanic White	572
Black	0
Hispanic	0
Asian	0
Other	26
Native American	0

**Age**
From 65 to 74	252
From 75 to 84	294
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Robert S. Fishel, MD in 2021

Hypertension	75
High Cholesterol	75
Stroke	7
Ischemic Heart Disease	66
Depression	18
Chronic Kidney Disease	33
Asthma	6
Osteoperosis	8
Atrial Fibrilation	75
Heart Failure	34
Chronic Obstructive Pulmonary Disease	14
Diabetes	26
Dementia	8
Cancer	15

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Robert S. Fishel, MD treated as a cardiac electrophysiologist in Atlantis, FL during 2022 were minimally invasive procedures, cardiac procedures, ultrasound (sonogram) and catheterization.

Volume of procedures performed by Dr. Robert S. Fishel, MD for Medicare patients.

ablation	155
cardiac procedures	331
cardioversion	25
catheterization	155
diagnostic procedures	155
doctor visit	1021
minimally invasive procedures	486
ultrasound (sonogram)	176

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert S. Fishel, MD.

**Gender**
Male	393
Female	213

**Ethnicity**
Non-Hispanic White	562
Black	0
Hispanic	0
Asian	0
Other	29
Native American	0

**Age**
From 65 to 74	219
From 75 to 84	302
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Robert S. Fishel, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	12
Ischemic Heart Disease	53
Depression	17
Chronic Kidney Disease	28
Asthma	8
Osteoperosis	12
Atrial Fibrilation	75
Heart Failure	32
Chronic Obstructive Pulmonary Disease	15
Diabetes	26
Dementia	5
Cancer	20

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Robert S. Fishel, MD for Medicare patients.

The highest averages for the top procedures that Dr. Robert S. Fishel, MD treated as a cardiac electrophysiologist in Atlantis, FL were minimally invasive procedures, cardiac procedures, ultrasound (sonogram) and diagnostic procedures.

ablation	173
ambulatory monitoring	12
cardiac procedures	384
cardioversion	36
catheterization	173
diagnostic procedures	177
doctor visit	873
hospital care	121
implant surgery	12
implantable cardioverter-defibrillator (ICD) replacement	14
inpatient care	102
minimally invasive procedures	536
outpatient care	38
ultrasound (sonogram)	185

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Robert S. Fishel, MD.

**Gender**
Male	350
Female	193

**Ethnicity**
Black / African American	1
Asian / Pacific Islander	0
Non-Hispanic White	506
Native American / Alaskan Native	0
Hispanic	2
Other	16

**Age**
75 to 84	238
85 and over	43
Less than 65	15
65 to 74	233

Average of Total of Conditions of Medicare patients treated by Dr. Robert S. Fishel, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Robert S. Fishel, MD treated were atrial fibrilation, high cholesterol, hypertension and ischemic heart disease.

Hypertension	68
High Cholesterol	68
Stroke	6
Ischemic Heart Disease	61
Depression	15
Chronic Kidney Disease	27
Asthma	8
Osteoporosis	7
Heart Failure	33
Chronic Obstructive Pulmonary Disease	15
Diabetes	27
Atrial Fibrillation	68
Dementia	6
Cancer	12

Education & Training

Dr. Robert S. Fishel, MD graduated from New York University (NYU) School of Medicine. He completed residency at University of Michigan Affiliated Hospitals. He has a state license in Florida.

Medical School: New York University (NYU) School of Medicine

Residency: University of Michigan Affiliated Hospitals

Licensed In: Florida

Affiliations & Hospitals

Dr. Robert S. Fishel, MD is associated with these hospitals and organizations:

HCA Florida Healthcare

Jupiter Medical Center

FLORIDA ELECTROPHYSIOLOGY ASSOCIATES PA

HCA Florida JFK Hospital

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General Payments

These charts describe general payments received by Dr. Robert S. Fishel, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Biosense Webster, Inc.	$66,211 Carto 3 System $39,037	Ablation CathetersAccessories $11,495	Ablation Catheters#Accessories $5,451	Ablation Catheters Accessories $3,250	Carto 3 $2,496	Other $4,481
E.R. Squibb & Sons, L.L.C.	$41,013 ELIQUIS $41,013
Medical Device Business Services, Inc.	$39,393 Carto 3 $26,519	Carto 3 System $11,507	$1,368
Braemar Manufacturing, LLC	$16,026 Cardiac Monitoring Suite $16,026
Boehringer Ingelheim Pharmaceuticals, Inc.	$10,777 Pradaxa $10,777
Other	$32,039 WATCHMAN $8,088	(7999) SRC Undivided $5,223	Electrophysiology $4,972	Amplia MRI $882	Ablation $838	Other $12,036

**Types of Payments**
Consulting Fee	$114,773
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$60,800
Food and Beverage	$22,475
Travel and Lodging	$7,393
Education	$19

Research Payments

Dr. Robert S. Fishel, MD has received 164 research payments totaling $553,908.

Biography

Dr. Robert Fishel is a cardiac electrophysiology (heart rhythm) specialist in Atlantis, FL. Dr. Fishel's areas of expertise include the following: myocarditis, coronary angioplasty (PTCA), and heart attack. He graduated from New York University (NYU) School of Medicine. He completed his residency training at a hospital affiliated with the University of Michigan. He is conversant in Spanish. Dr. Fishel is professionally affiliated with Jupiter Medical Center and HCA Florida Healthcare.