Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 0941992 | FL |
NPI | 1013935451 |
---|---|
Provider Name | Colleen R Roblin |
First Address | Orlando, FL 32836-8806 |
Second Address | Kissimmee, FL 34741-4924 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 08/07/2007 |