Individual
DR. ROBERT WALTER LEDBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3543 LITTLE RD, SUITE A, TRINITY, FL 34655-1811
(727) 848-6400
(727) 848-6200
Mailing address
327 FOUNTAINVIEW CIR, OLDSMAR, FL 34677-4645
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS8973
FL
207RC0000X
Cardiovascular Disease Physician
Primary
OS8973
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81515
BCBS FL
FL
01
—
P00638004
RAILROAD MEDICARE
—
Enumeration date
05/20/2006
Last updated
09/19/2011
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