Provider Demographics
NPI:1013197672
Name:ROBBINS, PETER (LMT)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 COLONIAL DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5675
Mailing Address - Country:US
Mailing Address - Phone:954-234-7170
Mailing Address - Fax:954-753-5162
Practice Address - Street 1:5901 COLONIAL DR
Practice Address - Street 2:SUITE 101
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5675
Practice Address - Country:US
Practice Address - Phone:954-234-7170
Practice Address - Fax:954-753-5162
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-11
Last Update Date:2007-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA12121225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist