Healthcare Provider Details

I. General information

NPI: 1477205060
Provider Name (Legal Business Name): TODD ROBINSON ND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2022
Last Update Date: 01/25/2022
Certification Date: 01/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 3RD AVE N
JACKSONVILLE BEACH FL
32250-5604
US

IV. Provider business mailing address

414 3RD AVE N
JACKSONVILLE BEACH FL
32250-5604
US

V. Phone/Fax

Practice location:
  • Phone: 904-372-9074
  • Fax:
Mailing address:
  • Phone: 904-372-9074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60309924
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: