Bazley, Robert D.

Bazley, Robert D. is an individual health care provider with primary practice located at 3241 Lakeland Hills Blvd , Lakeland FL 33805-2266. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bazley, Robert D. can be contacted via phone (863) 413-2620.

Contact Information

Primary practice address
3241 Lakeland Hills Blvd Lakeland FL 33805-2266
Phone: (863) 413-2620
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 36355 Missouri
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME45747 Florida

Profile Details

NPI number 1982719514
LBN Legal business name Bazley, Robert D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jun 23rd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982719514 NPPES
Missouri MEDICAID 203990411
Missouri Other 119334
Missouri MEDICAID 000046600
Missouri Other 68594
Missouri Other 160048858

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