Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | MD012473E | PA |
NPI | 1588800171 |
---|---|
Provider Name | Dr. Stephen M Robbins |
First Address | Venice, FL 34292-5308 |
Second Address | Venice, FL 34292-5308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2009 |
Last Update Date | 02/01/2009 |