Healthcare Provider Details

I. General information

NPI: 1427887918
Provider Name (Legal Business Name): ROBIN URBAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2024
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 S OLD DIXIE HWY
JUPITER FL
33458-7205
US

IV. Provider business mailing address

1240 S OLD DIXIE HWY FL 2
JUPITER FL
33458-7205
US

V. Phone/Fax

Practice location:
  • Phone: 561-263-7550
  • Fax:
Mailing address:
  • Phone: 561-263-7550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: