Healthcare Provider Details

I. General information

NPI: 1972028041
Provider Name (Legal Business Name): MARIE MICHELLE ROBINSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2017
Last Update Date: 07/21/2022
Certification Date: 04/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11052 CAPTAIN DR
SPRING HILL FL
34608-5008
US

IV. Provider business mailing address

11052 CAPTAIN DR
SPRING HILL FL
34608-5008
US

V. Phone/Fax

Practice location:
  • Phone: 813-416-4685
  • Fax:
Mailing address:
  • Phone: 813-416-4685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9206780
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN9206780
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License NumberRN9206780
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License NumberRN9206780
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code163WX1500X
TaxonomyOstomy Care Registered Nurse
License NumberRN9206780
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberRN9206780
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License NumberRN9206780
License Number StateFL
# 9
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberRN9206780
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: