Healthcare Provider Details

I. General information

NPI: 1205949336
Provider Name (Legal Business Name): ROBERT DAVID LOVINGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 05/11/2020
Certification Date: 05/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3155 LAKE WORTH RD
PALM SPRINGS FL
33461-6917
US

IV. Provider business mailing address

826 EVERNIA ST
WEST PALM BEACH FL
33401-5708
US

V. Phone/Fax

Practice location:
  • Phone: 561-439-8440
  • Fax: 561-439-8229
Mailing address:
  • Phone: 561-355-3081
  • Fax: 561-355-3162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberME95314
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: