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Individual

CLOVER ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4521 CATALONIA WAY S, SAINT PETERSBURG, FL 33712-4122
(727) 902-6687
Mailing address
4521 CATALONIA WAY S, SAINT PETERSBURG, FL 33712-4122
(727) 902-6687

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
261QD1600X
FL
Enumeration date
05/31/2017
Last updated
06/16/2018
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