Individual
DEREK ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
449 W 23RD ST, PANAMA CITY, FL 32405-4507
(850) 769-8341
Mailing address
449 W 23RD ST, PANAMA CITY, FL 32405-4507
(850) 769-8341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012966900
—
FL
Enumeration date
07/22/2014
Last updated
03/25/2016
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