Healthcare Provider Details

I. General information

NPI: 1306871801
Provider Name (Legal Business Name): ROBIN C HAUSER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBIN A CAMPOSANO

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3638 MADACA LANE
TAMPA FL
33618
US

IV. Provider business mailing address

PO BOX 25437
TAMPA FL
33622
US

V. Phone/Fax

Practice location:
  • Phone: 813-968-6610
  • Fax: 813-264-1669
Mailing address:
  • Phone: 813-854-2003
  • Fax: 813-855-3765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME 93094
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: