Individual
VANDERBILT ROBISON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5715 21ST AVE W, BRADENTON, FL 34209-5605
(941) 346-6460
Mailing address
5715 21ST AVE W, BRADENTON, FL 34209-5605
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS15802
FL
283Q00000X
Psychiatric Hospital
—
—
Other
Enumeration date
05/16/2016
Last updated
09/22/2022
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