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Organization

ROBERT LOVE OD AND ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT LOVE O.D. (OWNER/PRESIDENT)
(407) 323-1130
Entity
Organization

Contact information

Practice address
1331 S INTERNATIONAL PKWY, STE 1271, LAKE MARY, FL 32746-1405
(407) 323-1130
(407) 323-0979
Mailing address
1331 S INTERNATIONAL PKWY, STE 1271, LAKE MARY, FL 32746-1405
(407) 323-1130
(407) 323-0979

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3365
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1242470001
DME NUMBER
FL
01
20927
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/11/2006
Last updated
08/01/2007
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