Healthcare Provider Details

I. General information

NPI: 1326216060
Provider Name (Legal Business Name): STEPHEN M. ROBINS, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2008
Last Update Date: 03/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3717 W BOYNTON BEACH BLVD SUITE 7
BOYNTON BEACH FL
33436-4540
US

IV. Provider business mailing address

3717 W BOYNTON BEACH BLVD SUITE 7
BOYNTON BEACH FL
33436-4540
US

V. Phone/Fax

Practice location:
  • Phone: 561-736-3300
  • Fax:
Mailing address:
  • Phone: 561-736-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN MARC ROBINS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 561-736-3300