MEDICARE: TERI ROBIOU LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	PY8108	FL
2	103T00000X	Psychologist

General Provider Information

NPI Number	:	1053860114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERI ROBIOU LLC

Provider Business Mailing Address
First Line	:	1450 MADRUGA AVE STE 300
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-3164
Country	:	US
Telephone Number	:	305-788-9928
Fax Number	:

Provider Business Practice Location Address
First Line	:	1450 MADRUGA AVE STE 300
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-3164
Country	:	US
Telephone Number	:	305-788-9928
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TERI ROBIOU
Credential	:	PH.D.
Telephone Number	:	305-788-9928

Provider Enumeration Date	:	09/29/2016
Last Update Date	:	04/21/2021

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Directions to “TERI ROBIOU LLC ” Practice Location

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