MEDICARE: ROBYN L STURGEON M.D.

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	207Q00000X	Family Medicine Physician	ME94955	FL

General Provider Information

NPI Number	:	1477579126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBYN L STURGEON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 10548
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33733-0548
Country	:	US
Telephone Number	:	727-824-8105
Fax Number	:	727-896-7331

Provider Business Practice Location Address
First Line	:	1344 22ND ST S
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33712-2744
Country	:	US
Telephone Number	:	727-821-6701
Fax Number	:	727-824-8165

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	07/08/2007

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