Healthcare Provider Details

I. General information

NPI: 1265635528
Provider Name (Legal Business Name): DEBORAH U. ROBARDS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 06/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 UNIVERSITY PKWY STE 101A
PENSACOLA FL
32514-5485
US

IV. Provider business mailing address

5244 CRYSTAL CREEK DR
PACE FL
32571-9073
US

V. Phone/Fax

Practice location:
  • Phone: 850-208-6130
  • Fax:
Mailing address:
  • Phone: 850-686-5578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP1027742
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: