Healthcare Provider Details

I. General information

NPI: 1063733491
Provider Name (Legal Business Name): ROBIN A SYKES, M.D., P.A.,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2010
Last Update Date: 08/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 MILITARY TRL SUITE 305
JUPITER FL
33458-7801
US

IV. Provider business mailing address

2055 MILITARY TRL SUITE 305
JUPITER FL
33458-7801
US

V. Phone/Fax

Practice location:
  • Phone: 561-746-9400
  • Fax: 561-744-4619
Mailing address:
  • Phone: 561-746-9400
  • Fax: 561-744-4619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME39245
License Number StateFL

VIII. Authorized Official

Name: KAREN BARLOW
Title or Position: PRESIDENT, JUPITER PROFESSIONAL DEV
Credential:
Phone: 561-748-2889