Healthcare Provider Details

I. General information

NPI: 1497282636
Provider Name (Legal Business Name): JEAN ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2017
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5331 PRIMROSE LAKE CIR STE 236
TAMPA FL
33647-3763
US

IV. Provider business mailing address

5331 PRIMROSE LAKE CIR STE 236
TAMPA FL
33647-3763
US

V. Phone/Fax

Practice location:
  • Phone: 727-967-0800
  • Fax:
Mailing address:
  • Phone: 727-967-0800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number30213048
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number241037
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number241037
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN5241106
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: