Individual
LARY ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME69477
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25775
BLUE CROSS BLUE SHIELD
FL
05
—
375756100
—
FL
Enumeration date
07/25/2006
Last updated
04/28/2008
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