Individual
ROBERT LAKE PURDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1540 CLEMENTE COURT, SUITE #300, THE VILLAGES, FL 32159
(352) 259-2200
(355) 258-6210
Mailing address
1540 CLEMENTE COURT, SUITE #300, THE VILLAGES, FL 32159
(352) 259-2200
(355) 258-6210
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME43489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068969600
—
FL
01
—
35205U
MEDICARE ID-TYPE UNSPECIFIED
FL
01
—
ME43489
MEDICAL LIC
FL
Enumeration date
08/11/2005
Last updated
01/07/2026
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