Healthcare Provider Details

I. General information

NPI: 1457372203
Provider Name (Legal Business Name): ROBIN DAWSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 01/16/2023
Certification Date: 01/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10860 SAVONA WAY
ORLANDO FL
32827-7271
US

IV. Provider business mailing address

10860 SAVONA WAY
ORLANDO FL
32827-7271
US

V. Phone/Fax

Practice location:
  • Phone: 585-507-2999
  • Fax:
Mailing address:
  • Phone: 585-507-2999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number177386
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number177386
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number177386
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License NumberME153415
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: