Healthcare Provider Details

I. General information

NPI: 1376475376
Provider Name (Legal Business Name): MARISSA KAI ROBBINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARISSA VONESH

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 W NEWBERRY RD
GAINESVILLE FL
32605-4309
US

IV. Provider business mailing address

6500 W NEWBERRY RD
GAINESVILLE FL
32605-4309
US

V. Phone/Fax

Practice location:
  • Phone: 352-333-4000
  • Fax:
Mailing address:
  • Phone: 352-333-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberAPRN11047953
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: