MEDICARE: ROBERT LEVI LOOPER SR. DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH15801	FL

General Provider Information

NPI Number	:	1194672600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT LEVI LOOPER SR. DC

Provider Business Mailing Address
First Line	:	1408 BEVERLY ST APT B
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-7073
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13305 PANAMA CITY PKWY
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407
Country	:	US
Telephone Number	:	850-234-2242
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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