Healthcare Provider Details

I. General information

NPI: 1063942001
Provider Name (Legal Business Name): ROBBINS - PIERRE-VAL & ASSOCIATES LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2017
Last Update Date: 06/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11705 BOYETTE RD STE 169
RIVERVIEW FL
33569-5533
US

IV. Provider business mailing address

11705 BOYETTE RD STE 169
RIVERVIEW FL
33569-5533
US

V. Phone/Fax

Practice location:
  • Phone: 813-297-6326
  • Fax:
Mailing address:
  • Phone: 813-297-6326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DEVENIE J ROBBINS
Title or Position: CO-OWNER
Credential: ARNP
Phone: 813-297-6326