Healthcare Provider Details

I. General information

NPI: 1740736537
Provider Name (Legal Business Name): MARCUS L ROBINSON ARNP, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 DRANE FIELD RD STE 103
LAKELAND FL
33811-1259
US

IV. Provider business mailing address

4313 S FLORIDA AVE # 1090
LAKELAND FL
33813-1654
US

V. Phone/Fax

Practice location:
  • Phone: 407-602-3380
  • Fax: 833-410-2620
Mailing address:
  • Phone: 407-602-3380
  • Fax: 833-410-2620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number9374035
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: