Provider Demographics
NPI:1386681419
Name:LOEFFLER, ROBERT D (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:D
Last Name:LOEFFLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22974 OVERSEAS HWY
Mailing Address - Street 2:
Mailing Address - City:CUDJOE KEY
Mailing Address - State:FL
Mailing Address - Zip Code:33042-4254
Mailing Address - Country:US
Mailing Address - Phone:305-745-7357
Mailing Address - Fax:305-745-7360
Practice Address - Street 1:1111 12TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4088
Practice Address - Country:US
Practice Address - Phone:305-295-3477
Practice Address - Fax:305-295-3550
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85685207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00060772OtherRAILROAD MEDICARE
FL47963OtherBLUE CROSS BLUE SHIELD
FL47963Medicare ID - Type Unspecified
FL47963OtherBLUE CROSS BLUE SHIELD