Healthcare Provider Details

I. General information

NPI: 1215230776
Provider Name (Legal Business Name): JAMES C. ROBINSON, DC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2010
Last Update Date: 12/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2396 EDGEWOOD AVE N
JACKSONVILLE FL
32254-1725
US

IV. Provider business mailing address

2396 EDGEWOOD AVE N
JACKSONVILLE FL
32254-1725
US

V. Phone/Fax

Practice location:
  • Phone: 904-781-2300
  • Fax: 904-781-3502
Mailing address:
  • Phone: 904-781-2300
  • Fax: 904-781-3502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH4808
License Number StateFL

VIII. Authorized Official

Name: DR. JAMES C. ROBINSON
Title or Position: PRESIDENT
Credential: DC
Phone: 904-781-2300