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NPI Code Detail

MEDICARE: JEFFREY B ROBIN M.D.

MEDICARE: JEFFREY B ROBIN M.D.
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
1207W00000XOphthalmology PhysicianME78631FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01445152OTHERFLRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
350485OTHERFLBC FLORIDA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194848333
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY B ROBIN M.D.
Provider Business Mailing Address
First Line : PO BOX 61199
Second Line :
City : FORT MYERS
State : FL
Zip : 33906-1199
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12731 NEW BRITTANY BLVD
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-3632
Country : US
Telephone Number : 239-418-0999
Fax Number : 239-274-0773
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 12/14/2015

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Directions to “ JEFFREY B ROBIN M.D.” Practice Location

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