Healthcare Provider Details

I. General information

NPI: 1396130233
Provider Name (Legal Business Name): ROBIN FRANTANTONI CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2015
Last Update Date: 03/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SE HOSPITAL AVE
STUART FL
34994-2346
US

IV. Provider business mailing address

4660 NE DUDLEY CIR
JENSEN BEACH FL
34957-4003
US

V. Phone/Fax

Practice location:
  • Phone: 772-223-5907
  • Fax:
Mailing address:
  • Phone: 850-209-1964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number9197992
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: