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NPI Code Detail

MEDICARE: BRUCE I LOBAR MD

MEDICARE:   BRUCE I LOBAR  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
12084N0400XNeurology PhysicianM5820TX
22084N0400XNeurology Physician35132049OH
32084N0400XNeurology PhysicianD0035586MD
42084N0400XNeurology Physician0101038169VA
52084N0400XNeurology PhysicianMD033604EPA
62084N0400XNeurology Physician351302049OH
72084N0400XNeurology PhysicianME115085FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679534853
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE I LOBAR MD
Provider Business Mailing Address
First Line : 1580 SANTA BARBARA BLVD
Second Line :
City : THE VILLAGES
State : FL
Zip : 32159-6827
Country : US
Telephone Number : 352-259-2159
Fax Number :
Provider Business Practice Location Address
First Line : 1580 SANTA BARBARA BLVD
Second Line :
City : THE VILLAGES
State : FL
Zip : 32159-6827
Country : US
Telephone Number : 352-259-2159
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 11/16/2022

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1548226715 — DR. GURKIRPAL GILL I MD
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Practice Fax: 352-259-5731

Directions to “ BRUCE I LOBAR MD” Practice Location

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