MEDICARE: MATTHEW JAMES ROBINSON

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1134019730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW JAMES ROBINSON

Provider Business Mailing Address
First Line	:	1269 SW COVERED BRIDGE RD
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-1904
Country	:	US
Telephone Number	:	215-510-5545
Fax Number	:

Provider Business Practice Location Address
First Line	:	9123 N MILITARY TRL STE 104
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-5968
Country	:	US
Telephone Number	:	561-622-9300
Fax Number	:

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

Provider Enumeration Date	:	07/07/2025
Last Update Date	:	07/07/2025

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