Healthcare Provider Details

I. General information

NPI: 1750590675
Provider Name (Legal Business Name): ROBIN JILL KAUFFMAN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 S UNIVERSITY DR STE 205
DAVIE FL
33328-3837
US

IV. Provider business mailing address

4801 S UNIVERSITY DR STE 205
DAVIE FL
33328-3837
US

V. Phone/Fax

Practice location:
  • Phone: 954-253-7863
  • Fax:
Mailing address:
  • Phone: 954-253-7863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY5840
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: