Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ME74066 | FL |
Y | 208600000X | Surgeon | ME74066 | FL |
NPI | 1003867862 |
---|---|
Provider Name | Dr. Robin L Rahm |
First Address | Lake Mary, FL 32746-2403 |
Second Address | Lake Mary, FL 32746-2403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 10/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
104046200 | (05) | FL |
59-3654810 | TAX ID (01) | FL |
D02252 | (02) | FL |