Robinson, Derek

Robinson, Derek is an individual health care provider with primary practice located at 449 W 23Rd St , Panama City FL 32405-4507. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Robinson, Derek can be contacted via phone (850) 769-8341.

Contact Information

Primary practice address
449 W 23Rd St Panama City FL 32405-4507
Phone: (850) 769-8341
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1326455312
LBN Legal business name Robinson, Derek
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2014
Last updated Mar 25th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326455312 NPPES
Florida MEDICAID 012966900

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