Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | ME61201 | FL |
NPI | 1942339478 |
---|---|
Provider Name | Dr. Rosa H. Robison |
First Address | Orlando, FL 32819-3310 |
Second Address | Windermere, FL 34786 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 26/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
057067200 | (05) | FL |
F12344 | (02) | FL |