Provider Demographics
NPI:1043365547
Name:HEGLAR, ROBERT B (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:B
Last Name:HEGLAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8390 CHAMPIONS GATE BLVD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:CHAMPIONS GATE
Mailing Address - State:FL
Mailing Address - Zip Code:33896-8310
Mailing Address - Country:US
Mailing Address - Phone:407-390-1677
Mailing Address - Fax:407-390-1765
Practice Address - Street 1:1164 E OAKLAND PARK BLVD
Practice Address - Street 2:3RD FLOOR
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-2707
Practice Address - Country:US
Practice Address - Phone:954-561-6900
Practice Address - Fax:954-568-7021
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2016-08-01
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Provider Licenses
StateLicense IDTaxonomies
FLME 82653207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL262051100Medicaid
FL262051100Medicaid
FL052197Medicare ID - Type Unspecified