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General NPI Number Information
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NPI Number | 1578177523
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Entity Type | Organization
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Legal Business Name | ROBINSON FAMILY CLINIC INC
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Dates
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Enumeration Date | 09/06/2020
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 4406 S FLORIDA AVE STE 17
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City | LAKELAND
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State | FL
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Zip | 33813-2182
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Country | US
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Telephone | 863-646-5088
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Fax | 863-904-4701
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Provider Business Mailing Address
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Address Line | 4406 S FLORIDA AVE STE 17
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City | LAKELAND
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State | FL
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Zip | 33813-2182
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Country | US
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Telephone | 863-646-5088
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Fax | 863-904-4701
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Authorized Official
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Title or Position | CEO
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Name | DR. AYESHA JAFRI
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Credential | MD
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Telephone | 863-646-5088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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