Individual
ROBERT B GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
511 MEDICAL PLAZA DR STE 101, LEESBURG, FL 34748-7328
(352) 728-6808
(352) 728-1743
Mailing address
511 MEDICAL PLAZA DR STE 101, LEESBURG, FL 34748-7328
(352) 728-6808
(352) 728-1743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN18479
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME139276
FL
Other
Enumeration date
05/13/2013
Last updated
08/20/2019
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