# ROBERT L R WESLY M D PH D P A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043407851
- **Authorized official:** DR. ROBERT L WESLY MD-PHD (PRESIDENT/OWNER)
- **Authorized official phone:** (352) 377-6010

## Contact information

- **Practice address:** 2251 NW 41ST ST, SUITE E, GAINESVILLE, FL 32606-7498
- **Practice address phone:** (352) 377-6010
- **Practice address fax:** (352) 371-0039
- **Mailing address:** 2251 NW 41ST ST, SUITE E, GAINESVILLE, FL 32606-7498
- **Mailing address phone:** (352) 377-6010
- **Mailing address fax:** (352) 371-0039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | ME44335 | FL | — |
| 2086X0206X | Surgical Oncology Physician | ME44335 | FL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME44335 | FL | Yes |

## Other

- **Enumeration date:** 09/26/2007
- **Last updated:** 12/31/2008