Healthcare Provider Details
I. General information
NPI: 1679884159
Provider Name (Legal Business Name): ROBIN DONADIO LAFLEUR APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/29/2010
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1563 KINGSLEY AVE STE 103
ORANGE PARK FL
32073-4503
US
IV. Provider business mailing address
421 W CHURCH ST APT 618
JACKSONVILLE FL
32202-4145
US
V. Phone/Fax
- Phone: 904-644-0870
- Fax: 904-644-0870
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | ARNP9172478 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | APRN9172478 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: