Healthcare Provider Details

I. General information

NPI: 1528971918
Provider Name (Legal Business Name): DR. TAMIKA RENEE ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1751 BONAVENTURE BLVD
WESTON FL
33326-4039
US

IV. Provider business mailing address

1751 BONAVENTURE BLVD
WESTON FL
33326-4039
US

V. Phone/Fax

Practice location:
  • Phone: 954-385-0014
  • Fax: 954-385-8963
Mailing address:
  • Phone: 954-385-0014
  • Fax: 954-385-8963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS71544
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: