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Organization

VERA M ROBERT MD DO PA

Active
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Organization

VERA M ROBERT MD DO PA

Active
Other names
COLLIER BOULEVARD MEDICAL CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
VERA M ROBERT DO (OWNER PHYSICIAN)
(239) 455-9919
Entity
Organization

Contact information

Practice address
12565 COLLIER BLVD, NAPLES, FL 34116-5243
(239) 455-9919
(239) 455-9906
Mailing address
2110 19TH ST SW, NAPLES, FL 34117-4724
(239) 353-1015
(239) 455-9906

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261875300
—
FL
Enumeration date
11/10/2006
Last updated
11/17/2010
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