Healthcare Provider Details
I. General information
NPI: 1811915028
Provider Name (Legal Business Name): DEBRA LYNNE ROBINSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/17/2006
Last Update Date: 03/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1150 45TH ST
WEST PALM BEACH FL
33407-2361
US
IV. Provider business mailing address
800 CLEMATIS ST STE 5-531
WEST PALM BEACH FL
33401-5107
US
V. Phone/Fax
- Phone: 561-514-5300
- Fax: 561-514-5538
- Phone: 561-671-4043
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | ME41530 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: