Healthcare Provider Details

I. General information

NPI: 1669297735
Provider Name (Legal Business Name): ORA JOYCE ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2024
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HOSPITAL INTERNAL MEDICINE CLINIC 6000 W HWY 98
PENSACOLA FL
32512-0001
US

IV. Provider business mailing address

7450 LA QUINTA RD
PENSACOLA FL
32526-8543
US

V. Phone/Fax

Practice location:
  • Phone: 850-505-6791
  • Fax: 850-505-6749
Mailing address:
  • Phone: 850-390-6577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberRN9216081
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: