Individual
DR. ROBERT MICHAEL LOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 SHIRCLIFF WAY, SUITE 322, JACKSONVILLE, FL 32204-4780
(904) 384-8088
(904) 384-4745
Mailing address
11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME48015
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14171
BLUE CROSS & BLUE SHIELD
FL
05
—
262925900
—
FL
01
—
362038000
DEPARTMENT OF LABOR
FL
Enumeration date
10/02/2006
Last updated
07/22/2011
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