Individual
ROBERT L R WESLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1143 NW 64TH TER, GAINESVILLE, FL 32605-4218
(352) 377-6010
(352) 371-0039
Mailing address
2251 NW 41ST ST, SUITE E, GAINESVILLE, FL 32606-7498
(352) 377-6010
(352) 371-0039
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
ME44335
FL
2086X0206X
Surgical Oncology Physician
ME44335
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME44335
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01375
BC-BS
FL
01
—
060066125
TRICARE
FL
05
—
068801100
—
FL
01
—
206847
AVMED
FL
Enumeration date
03/15/2007
Last updated
12/31/2008
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