Healthcare Provider Details

I. General information

NPI: 1295652824
Provider Name (Legal Business Name): ROBERT LOSIER DPM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11326 JACARANDA DR
NAPLES FL
34120-3839
US

IV. Provider business mailing address

11326 JACARANDA DR
NAPLES FL
34120-3839
US

V. Phone/Fax

Practice location:
  • Phone: 914-844-8024
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT LOSIER
Title or Position: DPM
Credential:
Phone: 914-844-8024