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Individual

MR. ROBERT P BALGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3682 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33311
(954) 739-4868
(954) 730-7201
Mailing address
3682 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33311
(954) 739-4868
(954) 730-7201

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6301681
CAID
05
630168100
FL
Enumeration date
11/27/2006
Last updated
03/08/2013
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