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NPI Code Detail

MEDICARE: ROBIN K MCCLAIN ARNP

MEDICARE: ROBIN K MCCLAIN ARNP
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
1363L00000XNurse PractitionerARNP9169787FL
2363LW0102XWomen's Health Nurse PractitionerARNP9169787FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y138UOTHERFLBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508885419
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN K MCCLAIN ARNP
Provider Business Mailing Address
First Line : PO BOX 917770
Second Line :
City : ORLANDO
State : FL
Zip : 32891-7770
Country : US
Telephone Number : 813-974-2201
Fax Number :
Provider Business Practice Location Address
First Line : 17 DAVIS BLVD
Second Line : STE 402
City : TAMPA
State : FL
Zip : 33606-3438
Country : US
Telephone Number : 813-259-8689
Fax Number : 813-259-8691
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 12/10/2010

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