MEDICARE: DETRICK 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	172A00000X	Driver		IN

General Provider Information

NPI Number	:	1306558176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DETRICK ROBINSON

Provider Business Mailing Address
First Line	:	3627 PLAZA DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46806-4346
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3627 PLAZA DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46806-4346
Country	:	US
Telephone Number	:	260-557-0045
Fax Number	:

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

Provider Enumeration Date	:	12/23/2022
Last Update Date	:	12/29/2022

Similar Medicare Providers

1255330114 — DENISE D ALLEN OT
Practice Location Address:

13670 METROPOLIS AVE , SUITE 103
FORT MYERS, FL
33912-4346

Practice Phone: 239-561-0700
Practice Fax: 239-561-5643

1568424729 — DR. ROBERT BERNIE PRITT D.O.
Practice Location Address:

13670 METROPOLIS AVE , SUITE 104
FORT MYERS, FL
33912-4346

Practice Phone: 239-489-0800
Practice Fax: 239-489-3274

1831124296 — MELISSA ANN LEWIS OT/L, CHT
Practice Location Address:

13670 METROPOLIS AVE , SUITE 103
FORT MYERS, FL
33912-4346

Practice Phone: 239-561-0700
Practice Fax: 239-561-5643

1144232885 — DR. JEFF NEAL MELVIN PH.D.
Practice Location Address:

13670 METROPOLIS AVE , SUITE 101
FORT MYERS, FL
33912-4346

Practice Phone: 239-910-1534
Practice Fax:

1356353007 — SOLUTIONS IN PSYCHOLOGY, INC.
Practice Location Address:

13670 METROPOLIS AVE , SUITE 100
FORT MYERS, FL
33912-4346

Practice Phone: 239-910-1534
Practice Fax:

1912008509 — MRS. MEREDITH WHEELER HARRIS LCSW
Practice Location Address:

13670 METROPOLIS AVE , 101
FORT MYERS, FL
33912-4346

Practice Phone: 504-615-7217
Practice Fax: 239-674-0304

Directions to “ DETRICK ROBINSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.