Healthcare Provider Details

I. General information

NPI: 1346564960
Provider Name (Legal Business Name): DUANE R ROBINSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2010
Last Update Date: 05/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 ZEMKE AVE
TAMPA FL
33621-5023
US

IV. Provider business mailing address

313 E KEARNEY BLVD
SAN ANGELO TX
76908
US

V. Phone/Fax

Practice location:
  • Phone: 813-657-6073
  • Fax:
Mailing address:
  • Phone: 702-671-6437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0101252494
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: