MEDICARE: MISS EVON ROSILYN 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	363L00000X	Nurse Practitioner	RN196933	GA
2	363LA2200X	Adult Health Nurse Practitioner	ARNP2750082	FL
3	363LA2200X	Adult Health Nurse Practitioner	RN196933	GA
4	363LA2200X	Adult Health Nurse Practitioner	RN196433	GA

General Provider Information

NPI Number	:	1538355078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS EVON ROSILYN ROBINSON ARNP

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3168
Country	:	US
Telephone Number	:	305-500-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	941 N 14TH ST
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34748-3838
Country	:	US
Telephone Number	:	352-326-4031
Fax Number	:

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

Provider Enumeration Date	:	09/19/2007
Last Update Date	:	02/13/2026

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