MEDICARE: DR. BOYD ALLAN ROBINSON DPM

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	213E00000X	Podiatrist	PO2565	FL

General Provider Information

NPI Number	:	1780607978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BOYD ALLAN ROBINSON DPM

Provider Business Mailing Address
First Line	:	115 SHAMROCK BLVD
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34293-1630
Country	:	US
Telephone Number	:	941-493-8666
Fax Number	:	941-497-5411

Provider Business Practice Location Address
First Line	:	115 SHAMROCK BLVD
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34293-1630
Country	:	US
Telephone Number	:	941-493-8666
Fax Number	:	941-497-5411

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	10/26/2007

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