MEDICARE: DR. STEPHEN MARC ROBINS MD

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	207W00000X	Ophthalmology Physician	40203	FL

General Provider Information

NPI Number	:	1184795528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN MARC ROBINS MD

Provider Business Mailing Address
First Line	:	10301 HAGEN RANCH RD STE 500
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3781
Country	:	US
Telephone Number	:	561-737-4040
Fax Number	:	561-369-7104

Provider Business Practice Location Address
First Line	:	10301 HAGEN RANCH RD STE 500
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3781
Country	:	US
Telephone Number	:	561-737-4040
Fax Number	:	561-369-7104

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

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	10/05/2021

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