Individual
DR. ROBERT BLAKELY LOFGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
300 PINELLAS ST, CLEARWATER, FL 33756-3892
(239) 896-7639
Mailing address
3073 HAMPTON CT, CLEARWATER, FL 33761-2006
(239) 896-7639
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS16112
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2011
Last updated
08/01/2019
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