Healthcare Provider Details

I. General information

NPI: 1295206902
Provider Name (Legal Business Name): ROBIN HUEBNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2018
Last Update Date: 07/03/2023
Certification Date: 07/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 SE FEDERAL HWY STE 334
STUART FL
34994-3839
US

IV. Provider business mailing address

4883 SE LONGLEAF PL
HOBE SOUND FL
33455-8108
US

V. Phone/Fax

Practice location:
  • Phone: 333-362-3010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW15758
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: