Doctor Name: | DR. RENA MICHEL ROBBINS |
NPI Number: | 1629184106 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 41981 |
Business Practice Address: | 621 S Nova Rd Ormond Beach, FL - 321746901 |
Business Phone Number: | 3866770005 |
Business Fax Number: | 3866772298 |
Mailing Address: | 621 S Nova Rd, ORMOND BEACH |
State: | FL |
Postal Code: | 321746901 |
Phone Number: | 3866770005 |
Fax Number: | 3866772298 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 41981 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |