Healthcare Provider Details

I. General information

NPI: 1588609309
Provider Name (Legal Business Name): ROBIN CHEREN SIFF M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: ROBIN ELIZABETH CHEREN M.A.

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3251 HOLLYWOOD BLVD SUITE 424
HOLLYWOOD FL
33021
US

IV. Provider business mailing address

10660 NW 17TH ST
PLANTATION FL
33322-6460
US

V. Phone/Fax

Practice location:
  • Phone: 954-963-6305
  • Fax:
Mailing address:
  • Phone: 954-370-5876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY614
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: