Individual
TODD W ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
911 MAR WALT DR, FORT WALTON BEACH, FL 32547-6705
(850) 862-4001
(850) 862-1612
Mailing address
911 MAR WALT DR, FORT WALTON BEACH, FL 32547-6705
(850) 862-4001
(850) 862-1612
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME100936
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157771001
—
AR
01
—
207287103
MISSOURI MEDICAID
MO
01
—
5N1737933
MEDICARE ID-TYPE UNSPECIFIED
AR
01
—
P00283958
RAILROAD MEDICARE
AR
Enumeration date
07/28/2006
Last updated
08/27/2024
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