| Doctor Name: | DR. ROBYN PANTHER GLEASON |
| NPI Number: | 1033365143 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP, FNP(BC) |
| License Number: | 3244842 |
| Business Practice Address: | 136 Hilldale Ave Ormond Beach, FL - 321765724 |
| Business Phone Number: | 3866823564 |
| Business Fax Number: | 3866777476 |
| Mailing Address: | 136 Hilldale Ave, ORMOND BEACH |
| State: | FL |
| Postal Code: | 321765724 |
| Phone Number: | 3866823564 |
| Fax Number: | 3866777476 |
| NPI Enumeration Date: | 08/09/2008 |
| NPI Last Update Date: | 08/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3244842 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |