Healthcare Provider Details
I. General information
NPI: 1780657486
Provider Name (Legal Business Name): ROBIN GAIL SCHUGAR DHSC, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/12/2006
Last Update Date: 08/09/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
770 NORTHPOINT PKWY
WEST PALM BEACH FL
33407-1901
US
IV. Provider business mailing address
3560 HALDIN PL
ROYAL PALM BEACH FL
33411-8320
US
V. Phone/Fax
- Phone: 561-838-4242
- Fax: 561-655-3744
- Phone: 305-331-9026
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AS0400X |
| Taxonomy | Surgical Physician Assistant |
| License Number | 99104402 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | 99104402 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: