Individual
DR. ROBERT S LATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3680 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-2316
(239) 936-3099
Mailing address
3660 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-2316
(239) 936-3099
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0081949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266216702
—
FL
Enumeration date
05/22/2006
Last updated
05/03/2021
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