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1629069596

NPI Code Detail

MEDICARE: ROBERT A STATFELD MD

MEDICARE: ROBERT A STATFELD MD

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	207L00000X	Anesthesiology Physician	ME48321	FL
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	ME 48321	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	02966	OTHER		BLUE CROSS/BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629069596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT A STATFELD MD

Provider Business Mailing Address
First Line	:	2500 HARBOR BLVD
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33952-5000
Country	:	US
Telephone Number	:	941-766-4125
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 HARBOR BLVD
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33952-5000
Country	:	US
Telephone Number	:	941-766-4125
Fax Number	:

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	11/13/2025

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Directions to “ ROBERT A STATFELD MD” Practice Location

Language	Start Address	Practice Location

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