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Individual

HARDY ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
3209 E GENESEE ST, TAMPA, FL 33610-6920
(813) 236-6490
Mailing address
3209 E GENESEE ST, TAMPA, FL 33610-6920
(813) 236-6490

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
690323196
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
690323196
FL
05
690323198
FL
Enumeration date
06/25/2008
Last updated
06/25/2008
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