Healthcare Provider Details

I. General information

NPI: 1942468368
Provider Name (Legal Business Name): HANDEL RICARDO ROBINSON M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2008
Last Update Date: 04/01/2021
Certification Date: 04/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 N FEDERAL HWY
FORT LAUDERDALE FL
33308-4608
US

IV. Provider business mailing address

4701 N FEDERAL HWY
FORT LAUDERDALE FL
33308-4608
US

V. Phone/Fax

Practice location:
  • Phone: 916-536-2584
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberC143181
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberME110309
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: