Individual
DR. ROBERT CARL GOETHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6201 N SUNCOAST BLVD, CRYSTAL RIVER, FL 34428-6712
(352) 795-4008
(352) 795-9041
Mailing address
PO BOX 457, CRYSTAL RIVER, FL 34423-0457
(352) 795-4008
(352) 795-9041
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME50717
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME50717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08355
BLUE CROSS
FL
01
—
1801801527
C.R. ANESTHESIA, P.A.
FL
05
—
267181600
—
FL
Enumeration date
02/01/2006
Last updated
02/23/2010
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