Individual
ROBIN CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9981 S HEALTHPARK DR, SUITE 454, FORT MYERS, FL 33908
(239) 343-9710
(239) 343-9715
Mailing address
PO BOX 2147, FT MYERS, FL 33902-2147
(239) 254-4270
(239) 254-4271
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME0088644
FL
2080P0208X
Pediatric Infectious Diseases Physician
Primary
ME88644
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269686000
—
FL
Enumeration date
09/30/2005
Last updated
11/13/2024
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