MEDICARE: STEPHEN L ROBINSON 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
1	207ZF0201X	Forensic Pathology Physician	ME124655	FL
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	ME124655	FL

General Provider Information

NPI Number	:	1447234133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN L ROBINSON M.D.

Provider Business Mailing Address
First Line	:	9090 CARRINGTON AVE
Second Line	:
City	:	PARKLAND
State	:	FL
Zip	:	33076-2845
Country	:	US
Telephone Number	:	240-409-4383
Fax Number	:

Provider Business Practice Location Address
First Line	:	3561 SW 10TH ST
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-4827
Country	:	US
Telephone Number	:	954-977-7959
Fax Number	:	954-977-7962

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

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	10/02/2024

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