Provider Demographics
NPI:1366439176
Name:BLAND, ROBERT EARL JR (CRNA; NSPM-C)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EARL
Last Name:BLAND
Suffix:JR
Gender:M
Credentials:CRNA; NSPM-C
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Mailing Address - Street 1:10501 FGCU BLVD S
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33965-6565
Mailing Address - Country:US
Mailing Address - Phone:239-745-4537
Mailing Address - Fax:
Practice Address - Street 1:2500 HARBOR BLVD
Practice Address - Street 2:SHOREPOINT HEALTH PORT CHARLOTTE
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952
Practice Address - Country:US
Practice Address - Phone:941-766-4122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR201403006CRNA367500000X
CA664195367500000X
OR201907877CRNA-PP367500000X
FLAPRN11013552367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered