MEDICARE: CORLIN EVERETT ROBINSON

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1174457311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORLIN EVERETT ROBINSON

Provider Business Mailing Address
First Line	:	204 MARINERS WAY
Second Line	:
City	:	BEAR
State	:	DE
Zip	:	19701-2290
Country	:	US
Telephone Number	:	302-312-5829
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 W CLARKE AVE STE 1010
Second Line	:
City	:	MILFORD
State	:	DE
Zip	:	19963-1857
Country	:	US
Telephone Number	:	302-865-3565
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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Directions to “ CORLIN EVERETT ROBINSON ” Practice Location

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