Purdon, Robert Lake

Purdon, Robert Lake is an individual health care provider with primary practice located at 1540 Clemente Ct , The Villages FL 32159-8960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Purdon, Robert Lake can be contacted via phone (352) 259-2200.

Contact Information

Primary practice address
1540 Clemente Ct The Villages FL 32159-8960
Phone: (352) 259-2200
Fax: (352) 259-2203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME43489 Florida

Profile Details

NPI number 1467454330
LBN Legal business name Purdon, Robert Lake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Dec 13th, 2023 - about 2 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 1467454330 NPPES
Florida Other 35205U MEDICARE ID-TYPE UNSPECIFIED
Florida MEDICAID 068969600 MEDICARE ID-TYPE UNSPECIFIED
Florida Other ME43489 MEDICARE ID-TYPE UNSPECIFIED

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