MEDICARE: LYLE A ROBINSON ARNP

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	363LA2200X	Adult Health Nurse Practitioner	9182498	FL

General Provider Information

NPI Number	:	1487893244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYLE A ROBINSON ARNP

Provider Business Mailing Address
First Line	:	1676 OAK PL
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33755-1350
Country	:	US
Telephone Number	:	727-422-2331
Fax Number	:

Provider Business Practice Location Address
First Line	:	1323 W FLETCHER AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3310
Country	:	US
Telephone Number	:	813-999-2188
Fax Number	:

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

Provider Enumeration Date	:	02/18/2009
Last Update Date	:	11/19/2021

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