Healthcare Provider Details

I. General information

NPI: 1447234133
Provider Name (Legal Business Name): STEPHEN L ROBINSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2005
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3561 SW 10TH ST
POMPANO BEACH FL
33069-4827
US

IV. Provider business mailing address

9090 CARRINGTON AVE
PARKLAND FL
33076-2845
US

V. Phone/Fax

Practice location:
  • Phone: 954-977-7959
  • Fax: 954-977-7962
Mailing address:
  • Phone: 240-409-4383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License NumberME124655
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberME124655
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: