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Individual

SHERLIE ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14500 NW 15TH DR, MIAMI, FL 33167-1123
(305) 687-1067
Mailing address
14500 NW 15TH DR, MIAMI, FL 33167-1123
(305) 687-1067

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
CFCE 1007-5968-96
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
230123700
MEDICAID PROVIDER NUMBER
FL
Enumeration date
04/22/2008
Last updated
04/22/2008
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