Healthcare Provider Details

I. General information

NPI: 1831110535
Provider Name (Legal Business Name): WILLIAM J. ROBBINS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 11/29/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8204 TIVOLI DR
ORLANDO FL
32836-8768
US

IV. Provider business mailing address

8204 TIVOLI DR
ORLANDO FL
32836-8768
US

V. Phone/Fax

Practice location:
  • Phone: 407-256-1945
  • Fax:
Mailing address:
  • Phone: 407-256-1945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME40632
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number0040632
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME40632
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: