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Individual

ROBERT M CASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2866 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-5126
(941) 629-3535
(941) 625-2076
Mailing address
2866 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-5165
(941) 629-3535
(941) 625-2076

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P0929
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
87617
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/15/2005
Last updated
05/01/2008
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