Provider Demographics
NPI:1003008954
Name:ROBINSON, ANN LAUREN (PA-C)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:LAUREN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7046 SW ARCHER RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-4723
Mailing Address - Country:US
Mailing Address - Phone:352-733-1772
Mailing Address - Fax:352-372-5164
Practice Address - Street 1:7046 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-4723
Practice Address - Country:US
Practice Address - Phone:352-733-1772
Practice Address - Fax:352-372-5164
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPAT9104198363A00000X
FLPA9104198363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL292836100Medicaid
FLAF011ZMedicare PIN