Provider Demographics
NPI:1295785160
Name:LOVE, ROBERT F (OD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:LOVE
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:1331 S INTERNATIONAL PKWY
Mailing Address - Street 2:STE 1271
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-1405
Mailing Address - Country:US
Mailing Address - Phone:407-323-1130
Mailing Address - Fax:407-323-0979
Practice Address - Street 1:1331 S INTERNATIONAL PKWY
Practice Address - Street 2:STE 1271
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-1405
Practice Address - Country:US
Practice Address - Phone:407-323-1130
Practice Address - Fax:407-323-0979
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOPC3365152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL20927OtherBLUE CROSS BLUE SHIELD
FL1242470001OtherDME NUMBER
FL410047589OtherRAILROAD MEDICARE
FL6208886-00Medicaid
FL1242470001OtherDME NUMBER
FLE2872VMedicare ID - Type Unspecified