Individual
DOROTHY GWENDOLYN ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4285 LAFAYETTE ST, MARIANNA, FL 32446-2919
(386) 292-0802
Mailing address
4285 LAFAYETTE ST, MARIANNA, FL 32446-2919
(386) 292-0802
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27933
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N0675045807-8
HEALTHCARE PROVIDERS SERVICE ORGANIZATION
FL
Enumeration date
02/06/2019
Last updated
02/06/2019
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