MEDICARE: DR. ROBERT J. LOEWINGER 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	207ND0101X	MOHS-Micrographic Surgery Physician	ME22136	FL

General Provider Information

NPI Number	:	1750387403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT J. LOEWINGER MD

Provider Business Mailing Address
First Line	:	49 ROYAL PALM PT
Second Line	:	STE 100
City	:	VERO BEACH
State	:	FL
Zip	:	32960-4270
Country	:	US
Telephone Number	:	772-569-5056
Fax Number	:	772-562-5098

Provider Business Practice Location Address
First Line	:	49 ROYAL PALM PT
Second Line	:	STE 100
City	:	VERO BEACH
State	:	FL
Zip	:	32960-4270
Country	:	US
Telephone Number	:	772-569-5056
Fax Number	:	772-562-5098

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	03/09/2010

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