MEDICARE: MISS NATALIE ROBINSON RMFTI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	IMT2329	FL
2	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1023538683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS NATALIE ROBINSON RMFTI

Provider Business Mailing Address
First Line	:	6405 NW 36TH ST
Second Line	:
City	:	VIRGINIA GARDENS
State	:	FL
Zip	:	33166-6974
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6405 NW 36TH ST STE 100
Second Line	:
City	:	VIRGINIA GARDENS
State	:	FL
Zip	:	33166-6977
Country	:	US
Telephone Number	:	786-346-0259
Fax Number	:	786-346-0259

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2017
Last Update Date	:	06/26/2017

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