MEDICARE: DR. ROBERT WILLIAM EDLER JR. M.D., J.D.

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	207W00000X	Ophthalmology Physician	01025135A	IN
2	209800000X	Legal Medicine (M.D./D.O.) Physician	01025135A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME142048	OTHER	FL	FLORIDA PHYSICIAN LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770708166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT WILLIAM EDLER JR. M.D., J.D.

Provider Business Mailing Address
First Line	:	26244 SWORD DANCER DR
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544-1586
Country	:	US
Telephone Number	:	317-752-2659
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 SEVEN SPRINGS BLVD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-3933
Country	:	US
Telephone Number	:	727-372-1311
Fax Number	:

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

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	07/06/2020

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