Healthcare Provider Details

I. General information

NPI: 1982671293
Provider Name (Legal Business Name): ROBERT GRANT ZOBLE MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARDIOOGY 111-A 13000 BRUCE B. DOWNS BLVD
TAMPA FL
33612
US

IV. Provider business mailing address

1429 KENSINGTON WOODS DR
LUTZ FL
33549-3882
US

V. Phone/Fax

Practice location:
  • Phone: 813-972-2000
  • Fax:
Mailing address:
  • Phone: 813-948-8067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License NumberME0021431
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: