Individual provider Active NPI

Robert Daniel Glore, ARNP

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1255863494
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9201792 Issued in FL
Practice address
1609 SW 17TH St
Ocala, FL 34471-1224
Phone
(352) 615-5595
NPI assigned
Mar 28, 2017
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9201792 FL Primary

Addresses

Primary practice location

1609 SW 17TH St
Ocala, FL 34471-1224

Mailing address

1834 SW 1St Ave
Ste 201
Ocala, FL 34471-8102
Phone (352) 615-5595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170608000357 FL Practitioner - Nurse Practitioner 6103194550 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shreeven LLC CurrentSince Apr 3, 2017 Accepting new patients
Mobile Healthcare Solutions LLC Family CurrentSince Sep 1, 2022 Accepting new patients

Locations

1609 SW 17th St
Ocala, FL 34471
Phone (352) 401-9888

1370 E Venice Ave
Ste 102
Venice, FL 34285

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1255863494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 SW 1ST AVE",
            "address_2": "STE 201",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718102",
            "telephone_number": "352-615-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 SW 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711224",
            "telephone_number": "352-615-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLORE",
        "first_name": "ROBERT",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9201792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.