Kupsaw, Robert Eliot

Kupsaw, Robert Eliot is an individual health care provider with primary practice located at 13778 Plantation Rd , Fort Myers FL 33912-4301. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kupsaw, Robert Eliot can be contacted via phone (239) 343-0454.

Contact Information

Primary practice address
13778 Plantation Rd Fort Myers FL 33912-4301
Phone: (239) 343-0454
Fax: (239) 343-1075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME48214 Florida
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X ME48214 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME48214 Florida

Profile Details

NPI number 1316004484
LBN Legal business name Kupsaw, Robert Eliot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2007
Last updated Mar 29th, 2021 - about 3 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 1316004484 NPPES
Florida Other 1492 BLUE CROSS BLUE SHIELD
Florida MEDICAID 043729800 BLUE CROSS BLUE SHIELD
Florida Other 221870 BLUE CROSS BLUE SHIELD
Florida Other 297506 BLUE CROSS BLUE SHIELD

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