Healthcare Provider Details

I. General information

NPI: 1750657961
Provider Name (Legal Business Name): DEENA MARIA ROBINSON NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2012
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12909 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH FL
32407-2717
US

IV. Provider business mailing address

11945 SAN JOSE BLVD STE 300
JACKSONVILLE FL
32223-1627
US

V. Phone/Fax

Practice location:
  • Phone: 850-812-4174
  • Fax: 850-660-9682
Mailing address:
  • Phone: 850-812-4174
  • Fax: 850-660-9682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11035789
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: