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Individual
ROBIN MAE MEDEIROS
Active
Individual
ROBIN MAE MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11414
FL
225XP0200X
Pediatric Occupational Therapist
OT11414
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
288639
AMERIGROUP
FL
05
—
889708500
—
FL
01
—
Z066T
BLUE CROSS BLUE SHEILD
FL
Enumeration date
10/06/2006
Last updated
11/26/2018
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