Healthcare Provider Details

I. General information

NPI: 1982880670
Provider Name (Legal Business Name): PATRICK RANDALL ROBINSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2008
Last Update Date: 03/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1431 SW 1ST AVE
OCALA FL
34471-6500
US

IV. Provider business mailing address

1431 SW 1ST AVE
OCALA FL
34471-6500
US

V. Phone/Fax

Practice location:
  • Phone: 352-401-1414
  • Fax:
Mailing address:
  • Phone: 352-401-1414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME97795
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: