MEDICARE: MS. MELANIE SIMONE ROBINSON FNP-C

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	363LF0000X	Family Nurse Practitioner	ARNP9193677	FL

General Provider Information

NPI Number	:	1194260273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELANIE SIMONE ROBINSON FNP-C

Provider Business Mailing Address
First Line	:	2047 PALM BEACH LAKES BLVD
Second Line	:	SUITE 200
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6522
Country	:	US
Telephone Number	:	561-721-6880
Fax Number	:	561-296-1923

Provider Business Practice Location Address
First Line	:	2047 PALM BEACH LAKES BLVD
Second Line	:	SUITE 200
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6522
Country	:	US
Telephone Number	:	561-721-6880
Fax Number	:	561-296-1923

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

Provider Enumeration Date	:	12/28/2016
Last Update Date	:	12/28/2016

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