Wesly, Robert L R

Wesly, Robert L R is an sole proprietor health care provider with primary practice located at 1143 Nw 64Th Ter , Gainesville FL 32605-4218. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Wesly, Robert L R can be contacted via phone (352) 377-6010.

Contact Information

Primary practice address
1143 Nw 64Th Ter Gainesville FL 32605-4218
Phone: (352) 377-6010
Fax: (352) 371-0039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME44335 Florida
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X ME44335 Florida
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME44335 Florida

Profile Details

NPI number 1548394455
LBN Legal business name Wesly, Robert L R
Credentials MD PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Dec 31st, 2008 - about 17 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 1548394455 NPPES
Florida Other 060066125 TRICARE
Florida Other 206847 TRICARE
Florida Other 01375 TRICARE
Florida MEDICAID 068801100 TRICARE

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